Individual provider Active NPI

Christie Bryant, PT, DPT

  • Physical Therapist
  • Merced, CA
National Provider Identifier
1750773768
Registry record updated Feb 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
42302 Issued in CA
Practice address
1027 N Bryant CT
Merced, CA 95341-9802
Phone
(310) 433-1349
NPI assigned
Feb 27, 2015
Last updated
Feb 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 42302 CA Primary

Addresses

Primary practice location

1027 N Bryant CT
Merced, CA 95341-9802

Mailing address

1027 N Bryant CT
Merced, CA 95341-9802

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150326002220 CA Practitioner - Physical Therapist in Private Practice 3870810039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Western University of Health Sciences College of Dental Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2310 W Monte Vista Ave
Turlock, CA 95382-9668
Phone (209) 726-9000

3009 Stratofortress Ave
Atwater, CA 95301-5170
Phone (209) 726-9000

3379 G St
Merced, CA 95340-0964
Phone (209) 726-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
42302CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Management Services and Physical Therapy Inc. Physical Therapist CurrentSince Apr 18, 2018 Accepting new patients

Locations

3009 Stratofortress Ave
Atwater, CA 95301
Phone (209) 726-9000

3379 G St
Merced, CA 95340
Phone (209) 325-4710

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1750773768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 N BRYANT CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953419802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 N BRYANT CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953419802",
            "telephone_number": "310-433-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "CHRISTIE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "42302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.