Active NPI
David Bryant, PTA
- Physical Therapy Assistant
- Gilbert, AZ
National Provider Identifier
1760065262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 014122
- Practice address
- 3485 S Mercy Rd Ste 101
Gilbert, AZ 85297-0429 - Phone
- (480) 963-2400
- NPI assigned
- May 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 014122 | AZ | Primary |
Addresses
Primary practice location
3485 S Mercy Rd Ste 101
Gilbert, AZ 85297-0429
Mailing address
6262 E Brown Rd Unit 77
Mesa, AZ 85205-4849
Phone (480) 313-4422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014122 | AZ | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Spine and Sport Physical Therapy LLC | Current | Accepting new patients |
Locations
3485 S Mercy Rd
Ste 101
Gilbert, AZ 85297
Phone (480) 507-2044
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 and National Provider Directory roles.
-
- Physical Therapist
- Gilbert, AZ
- NPI 1942467501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1760065262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6262 E BROWN RD UNIT 77",
"city": "MESA",
"state": "AZ",
"postal_code": "852054849",
"telephone_number": "480-313-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3485 S MERCY RD STE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852970429",
"telephone_number": "480-963-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "DAVID",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-03",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "014122",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.