Marisa Bryson
Individual provider Active NPI Orthopedic Physical Therapist · Brevard, NC
NPI 1679986343 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1679986343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 14919 (NC)
- Practice address
- 259 N Broad St Unit 4
Brevard, NC 28712-4505 - Phone
- (828) 506-0143
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14919 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Rehabilitation Specialists, Inc. | Physical Therapist | Past | Accepting new patients |
| Carolina Pediatric Therapy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14919 | NC | |
| Orthopedic Physical Therapist | 2251X0800X | 14919 | NC | Yes |
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
Other providers in Brevard, NC
- Theresa Browning
- Holly Marie Bruehl
- James Earl Bryant
- Edward Lawrence Bryson Jr.
- Emily Ward Bryson
- Emily Elizabeth Buckner
- Matthew Stephen Bummer
- Jessica Burleson
- Linda Lamb Burrell
- Kristin Leigh Burton
All providers in Brevard, NC · Orthopedic Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.