Bryanna Wirth

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1451 Greens Prairie Rd W Ste 100
College Station, TX 77845-8794

Phone

(979) 690-2478

Fax

(979) 690-2402

NPI assigned

Sep 16, 2022

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cultivate Pelvic Floor Therapy

  • Physical Therapy Clinic/Center
  • College Station, TX
  • NPI 1104681071
  NPD Authorized official

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1841912714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 GREENS PRAIRIE RD W STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458794",
            "telephone_number": "979-690-2478",
            "fax_number": "979-690-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 GREENS PRAIRIE RD W STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458794",
            "telephone_number": "979-690-2478",
            "fax_number": "979-690-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRTH",
        "first_name": "BRYANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Winkler, MD
• Melinda Winkler, CRNA
• Winnie-Stowell Hospital District (Accel at College Station)
• Christiana Sterling Winters, PHARMD
• Robert M. Wiprud, M.D.
• Cody Blane Wolfe
• Grant Richard Wolfe, D.D.S.
• Jacqueline Womack, LMFT
• Women's Holistic Counseling & Consulting LLC
• Women's Professional Health Center

• Physical Therapist in College Station, TX
• Providers in College Station, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.