Active NPI
Myles Frederick Bryan
- Physical Therapy Assistant
- Easley, SC
National Provider Identifier
1669343174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 6823
- Practice address
- 227 S Pendleton St
Easley, SC 29640-3083 - Phone
- (864) 855-7030
- NPI assigned
- Sep 16, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 6823 | SC | Primary |
Addresses
Primary practice location
227 S Pendleton St
Easley, SC 29640-3083
Mailing address
101 Perry Bend Cir Apt 302
Easley, SC 29640-7207
Phone (864) 979-6617
Other practice location 1
123 Wg Acker Dr
Pickens, SC 29671-2739
Phone (864) 878-4791
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6823 | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1669343174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PERRY BEND CIR APT 302",
"city": "EASLEY",
"state": "SC",
"postal_code": "296407207",
"telephone_number": "864-979-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 S PENDLETON ST",
"city": "EASLEY",
"state": "SC",
"postal_code": "296403083",
"telephone_number": "864-855-7030"
}
],
"practiceLocations": [
{
"address_1": "123 Wg Acker Dr",
"address_purpose": "LOCATION",
"city": "Pickens",
"state": "SC",
"postal_code": "296712739",
"country_code": "US",
"telephone_number": "864-878-4791",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYAN",
"first_name": "MYLES",
"middle_name": "FREDERICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-16",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "6823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Easley, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.