Avril L Bryant, PT

Individual provider Active NPI Contractor · Decatur, GA

NPI 1609549559 · NPPES record last updated Jul 27, 2021

Key facts

NPI
1609549559
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
License
PT006228 (GA)
Practice address
3424 Flat Shoals Rd
Decatur, GA 30034-6525
Phone
(404) 968-8269
Fax
(470) 300-9649
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanta Family Physicians PC (3 clinicians)

Practice addresses (Care Compare)

3424 Flat Shoals Rd
Decatur, GA 30034-6525
Phone (404) 968-8269

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20230301001791 GA Practitioner - Physical Therapist in Private Practice 7416320098 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Family Physicians PC Single Specialty Current
since Jan 1, 2023
Accepting new patients
Atlanta Health Unlimited Single Specialty Past
since Aug 1, 2021
Accepting new patients

Locations

3424 Flat Shoals Rd
Decatur, GA 30034
Phone (404) 241-5304

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor
Group: 193400000X SINGLE SPECIALTY GROUP
171W00000X PT006228 GA Yes

Addresses

Primary practice location

3424 Flat Shoals Rd
Decatur, GA 30034-6525

Mailing address

3424 Flat Shoals Rd
Decatur, GA 30034-6525
Phone (404) 968-8269

Other providers in Decatur, GA

All providers in Decatur, GA · Contractor in Georgia

Sources for this page

Verify at the official NPI Registry.