NPIMap

Organization Active NPI

Bryant Physical Therapy

  • Physical Therapist
  • Ellijay, GA
National Provider Identifier
1699912428
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BRYANT PHYSICAL THERAPY
Practice address
943 Progress Rd
Ellijay, GA 30540-8800
Phone
(706) 698-3000
NPI assigned
Jan 15, 2009
Last updated
Nov 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Mr. Larry BryantNPI 1629072020
Title
Vice President
Phone
(706) 698-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

943 Progress Rd
Ellijay, GA 30540-8800

Mailing address

943 Progress Rd
Ellijay, GA 30540-8800
Phone (706) 698-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090216000452 GA Part B Supplier - Clinic/Group Practice 7113082751 Receives reassigned benefits from 7 practitioners
Practice locations: Ellijay, GA

National Provider Directory

National Provider Directory

Locations

943 Progress Rd
Ellijay, GA 30540
Phone (706) 633-3421

98 Dean Goss Dr
Ste 107
Jasper, GA 30143
Phone (678) 386-4260

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1699912428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 PROGRESS RD",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305408800",
            "telephone_number": "706-698-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 PROGRESS RD",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305408800",
            "telephone_number": "706-698-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "706-698-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.