Active NPI
Bryan Muench, PT, MPT, PCS
- Pediatric Physical Therapist
- Gladewater, TX
National Provider Identifier
1669911624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 1143964
- Practice address
- 22452 County Road 3107
Gladewater, TX 75647-9690 - Phone
- (903) 985-1098
- NPI assigned
- Feb 22, 2017
- Last updated
- Feb 22, 2017
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 1143964 | TX | Primary |
Addresses
Primary practice location
22452 County Road 3107
Gladewater, TX 75647-9690
Mailing address
22452 County Road 3107
Gladewater, TX 75647-9690
Phone (903) 985-1098
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 |
|---|---|---|---|
| 1143964 | TX | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487721600000",
"number": "1669911624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22452 COUNTY ROAD 3107",
"city": "GLADEWATER",
"state": "TX",
"postal_code": "756479690",
"telephone_number": "903-985-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22452 COUNTY ROAD 3107",
"city": "GLADEWATER",
"state": "TX",
"postal_code": "756479690",
"telephone_number": "903-985-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUENCH",
"first_name": "BRYAN",
"name_prefix": "Mr.",
"credential": "PT, MPT, PCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-22",
"last_updated": "2017-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TX",
"license": "1143964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gladewater, TX
- Shera Elice McNeely, LMT
- Michelle's Salon of Cuts and Styles/ Non-Surgical Hair Replacement Center
- Trinity Ann Mooney
- Tracey Moore, LPC
- Lakevinya Moss
- Misty Dawn Muncy
- Hanna Murphey, M.S. CCC-SLP
- Nexion Health at Truman, Inc. (Truman W. Smith Children's Care Center)
- Melinda Parsons
- Nikunjkumar Patel
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.