Bryan Alexander Cardenas, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6876 Issued in KY

Practice address

1711 Cedar Grove Rd Ste 30
Shepherdsville, KY 40165-8592

Phone

(502) 543-5475

Fax

(502) 543-5476

NPI assigned

Aug 18, 2020

Last updated

Oct 22, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Benchmark Physical Therapy of Ky LLCGroup PAC ID 0042577579, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Hixson, TN
  • NPI 1962417444

  KY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Benchmark Physical Therapy of Ky LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1043734221

  KY

  Medicare reassignment Care Compare group NPD
• Drayer Physical Therapy Kentucky LLC

  • Physical Therapist
  • Lexington, KY
  • NPI 1821430257
  Medicare reassignment
• Drayer Physical Therapy Kentucky LLC

  • Physical Therapist
  • Richmond, KY
  • NPI 1003258443
  NPD
• Drayer Physical Therapy Kentucky LLC

  • Physical Therapist
  • Winchester, KY
  • NPI 1639511074
  NPD
• Agilitas USA, Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Chattanooga, TN
  • NPI 1518695436

  Physical Therapist

  NPD
• Agilitas USA Inc

  dba Results Physiotherapy

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1609117811
  NPD (past)
• Ascb Therapy LLC

  • Speech-Language Pathologist
  • La Grange, KY
  • NPI 1508277864

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1740892249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CEDAR GROVE RD STE 30",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401658592",
            "telephone_number": "502-543-5475",
            "fax_number": "502-543-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "BRYAN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "KY",
            "license": "006876",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "6876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Paige Burns
• Rebecca Marie Burress, PHARMD
• C K Dental, Inc. (North Bullitt Family Dental)
• C&K Holdings (BrightStar)
• Luyen Van Cao, MD
• Cardiac Care Center of Louisville, PLLC
• Cardiovascular Associates PSC
• Cardiovascular Associates PSC
• Christina Dawn Cardwell, DMD
• Mariah C Carrico, LCSW

• Physical Therapist in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; 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.