Bryce A Huddleston
Individual provider Active NPI Physical Therapist · Branson West, MO
NPI 1669852240 · NPPES record last updated Jun 9, 2015
Key facts
- NPI
- 1669852240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2015017509 (MO)
- Practice address
- 16282 State Highway 13 Ste F
Branson West, MO 65737-8875 - Phone
- (417) 272-3909
- Fax
- (417) 272-3918
- NPI assigned
- Jun 9, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1505 S Elliott Ave
Suite E
Aurora, MO 65605-2155
Phone (417) 308-0095
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150731016604 | MO | Practitioner - Physical Therapist in Private Practice | 9032423249 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BT Acquisitions, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1505 S Elliott Ave
Ste E
Aurora, MO 65605
Phone (417) 308-0095
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2015017509 | MO | Yes |
Addresses
Primary practice location
16282 State Highway 13 Ste F
Branson West, MO 65737-8875
Mailing address
427 S Mill St
Rogersville, MO 65742-7601
Phone (417) 753-7735
Other providers in Branson West, MO
- Health Centers of the Ozarks, P.C.
- Lindsey Grace Hejlek
- Melissa Kay Hern
- Reginald A Hill
- Sami Houssin Hourieh
- Margaret (Mitzi) J Huffman
- Kayla Nicole Hufham
- Thomas Huseman
- Tara Renee Johnson
- Jennifer R Kern
All providers in Branson West, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.