Individual provider Active NPI

Alex Bryant

  • Orthopedic Physical Therapist
  • Pine Mountain, GA
National Provider Identifier
1780073684
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
011163 Issued in GA
Practice address
150 Red Oak CT
Pine Mountain, GA 31822-3645
Phone
(706) 325-6971
NPI assigned
Jan 15, 2015
Last updated
Jan 15, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 011163 GA Primary

Addresses

Primary practice location

150 Red Oak CT
Pine Mountain, GA 31822-3645

Mailing address

150 Red Oak CT
Pine Mountain, GA 31822-3645
Phone (706) 325-6971

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161205000691 GA Practitioner - Physical Therapist in Private Practice 7113207374 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Diagnostic Center IncGroup PAC ID 3375455884, 25 clinicians

Practice addresses (Care Compare)

2040 10TH Ave
Columbus, GA 31901-1461
Phone (706) 322-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011163GAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Imaging, LLC CurrentSince Aug 1, 2018 Accepting new patients
Columbus Diagnostic Center Inc Current Accepting new patients
R & R Rehabiliation, P.C. Orthopedic CurrentSince Nov 1, 2016 Accepting new patients
Columbus Diagnostic Center Inc CurrentSince May 1, 2017 Accepting new patients
Physical Therapy Pros, LLC Orthopedic CurrentSince Apr 22, 2023 Accepting new patients
Griffin Imaging, LLC CurrentSince Aug 1, 2018 Accepting new patients

Locations

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

6079 Knology Way
Columbus, GA 31909
Phone (706) 507-4433

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

220 Rock St
Griffin, GA 30224
Phone (770) 229-4660

655 Will St
Griffin, GA 30224
Phone (770) 229-4660

2336 Wisteria Dr
Ste 420
Snellville, GA 30078
Phone (678) 753-4364

Organizations & group practices 6

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": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1780073684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RED OAK CT",
            "city": "PINE MOUNTAIN",
            "state": "GA",
            "postal_code": "318223645",
            "telephone_number": "706-325-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RED OAK CT",
            "city": "PINE MOUNTAIN",
            "state": "GA",
            "postal_code": "318223645",
            "telephone_number": "706-325-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "ALEX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-15",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "011163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.