Bryce A Huddleston

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2015017509 Issued in 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

Last updated

Jun 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• BT Acquisitions, LLC

  dba Excel Physical Therapy

  • Physical Therapist
  • Aurora, MO
  • NPI 1073155198
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1669852240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S MILL ST",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657427601",
            "telephone_number": "417-753-7735",
            "fax_number": "417-753-7765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16282 STATE HIGHWAY 13 STE F",
            "city": "BRANSON WEST",
            "state": "MO",
            "postal_code": "657378875",
            "telephone_number": "417-272-3909",
            "fax_number": "417-272-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "BRYCE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2015017509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lalonnie Marie Groves, MA, LPC, NCC
• Health Centers of the Ozarks, P.C.
• Lindsey Grace Hejlek, MPT
• Melissa Kay Hern, LPC
• Sami Houssin Hourieh, MD
• Margaret (Mitzi) J Huffman, RN, FNP-C, SANE
• Kayla Nicole Hufham, MD
• Thomas Huseman, RPT
• Tara Renee Johnson
• Jennifer R Kern, MSW, LCSW

• Physical Therapist in Branson West, MO
• Providers in Branson West, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.