Mieka Bryan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P20160 Issued in NC

Practice address

101 E W T Harris Blvd Ste 5001
Charlotte, NC 28262-3574

Phone

(704) 863-5040

NPI assigned

Oct 6, 2021

Last updated

Nov 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Atrium Health Specialty Network Inc

  dba Atrium Health Dermatology

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1538975636

  Physical Therapist

  Medicare reassignment NPD
• Ivy Integrative LLC

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
  • NPI 1487589198
  NPD (past)

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1801558911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 HANSARD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282141604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E W T HARRIS BLVD STE 5001",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623574",
            "telephone_number": "704-863-5040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 South Blvd Ste 228",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282033718",
            "country_code": "US",
            "telephone_number": "704-569-5489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "MIEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh E Bryan, MS, LMFT
• Brianna Monae Bryan
• Halie Shipley Bryan, PA-C
• Janine Rolison Bryan, LCMHC
• Meghan Galloway Bryan, PHARMD
• Theodorus Bryan
• Deedra Bryant-Serieux, MA, LPC, LSW
• Aaliyah Bryant
• Akyra Bryant
• Andrea S Bryant, PHARMD

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2025; 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.