Active NPI
Alex Bryant
- Orthopedic Physical Therapist
- Pine Mountain, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 011163
- Practice address
- 150 Red Oak CT
Pine Mountain, GA 31822-3645 - Phone
- (706) 325-6971
- NPI assigned
- Jan 15, 2015
- Last updated
- Jan 15, 2015
- 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 |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011163 | GA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griffin Imaging, LLC | Current | Accepting new patients | |
| Columbus Diagnostic Center Inc | Current | Accepting new patients | |
| R & R Rehabiliation, P.C. | Orthopedic | Current | Accepting new patients |
| Columbus Diagnostic Center Inc | Current | Accepting new patients | |
| Physical Therapy Pros, LLC | Orthopedic | Current | Accepting new patients |
| Griffin Imaging, LLC | Current | 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.
-
- Diagnostic Radiology Physician
- Columbus, GA
- NPI 1316108624
-
- Radiology Clinic/Center
- Griffin, GA
- NPI 1700199940
-
- Clinical Electrophysiology Physical Therapist
- Savannah, GA
- NPI 1609207885
Orthopedic
-
dba CDC Northside
- Diagnostic Radiology Physician
- Columbus, GA
- NPI 1598081093
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.