Bryan Alexander Cardenas, PT, DPT

Key facts

NPI

1740892249

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

6876 (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

Sex

Male

Sole proprietor

No

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Agilitas USA Inc Physical Therapy Clinic/Center · Hixson, TN · NPI 1962417444
  Medicare reassignment Care Compare group NPD KY · PHYSICAL THERAPIST
• Benchmark Physical Therapy of Ky LLC Physical Therapist · Chattanooga, TN · NPI 1043734221
  Medicare reassignment Care Compare group NPD KY · PHYSICAL THERAPIST
• Agilitas USA, Inc Physical Therapy Clinic/Center · Chattanooga, TN · NPI 1518695436
  Care Compare group NPD PHYSICAL THERAPIST
• Drayer Physical Therapy Kentucky LLC Physical Therapist · Lexington, KY · NPI 1821430257
  Medicare reassignment KY
• Agilitas USA, Inc Physical Therapy Clinic/Center · McKinney, TX · NPI 1659954931
  Care Compare group
• Agilitas USA, Inc Physical Therapy Clinic/Center · Chattanooga, TN · NPI 1699403006
  Care Compare group
• Drayer Physical Therapy Kentucky LLC Physical Therapist · Richmond, KY · NPI 1003258443
  NPD PHYSICAL THERAPIST
• Drayer Physical Therapy Kentucky LLC Physical Therapist · Winchester, KY · NPI 1639511074
  NPD PHYSICAL THERAPIST
• Agilitas USA Inc Physical Therapy Clinic/Center · Louisville, KY · NPI 1609117811
  NPD (past)
• Ascb Therapy LLC Speech-Language Pathologist · La Grange, KY · NPI 1508277864
  NPD (past) PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Agilitas USA, Inc (812 clinicians)
Benchmark Physical Therapy of Ky LLC (55 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 22, 2020.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "006876",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Shepherdsville, KY · Physical Therapist in Kentucky