Active NPI
Marisa Bryson
- Orthopedic Physical Therapist
- Brevard, NC
National Provider Identifier
1679986343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 14919
- Practice address
- 259 N Broad St Unit 4
Brevard, NC 28712-4505 - Phone
- (828) 506-0143
- NPI assigned
- Jun 10, 2014
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14919 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | 14919 | NC | Primary |
Addresses
Primary practice location
259 N Broad St Unit 4
Brevard, NC 28712-4505
Mailing address
PO Box 4
Pisgah Forest, NC 28768-0004
Phone (828) 506-0143
Other practice location 1
9 Summit Ave Ste B
Asheville, NC 28803-1938
Phone (828) 670-8056
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14919 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Rehabilitation Specialists, Inc. | Physical Therapist | Past | Accepting new patients |
| Carolina Pediatric Therapy | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Brevard, NC
- NPI 1679081863
-
- Early Intervention Provider Agency
- Asheville, NC
- NPI 1972849099
-
dba Carolina Pediatric Therapy
- Speech-Language Pathologist
- Asheville, NC
- NPI 1053409367
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1679986343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4",
"city": "PISGAH FOREST",
"state": "NC",
"postal_code": "287680004",
"telephone_number": "828-506-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 N BROAD ST UNIT 4",
"city": "BREVARD",
"state": "NC",
"postal_code": "287124505",
"telephone_number": "828-506-0143"
}
],
"practiceLocations": [
{
"address_1": "9 Summit Ave Ste B",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288031938",
"country_code": "US",
"telephone_number": "828-670-8056",
"fax_number": "828-670-8057",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRYSON",
"first_name": "MARISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "14919",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NC",
"license": "14919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brevard, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.