Individual provider Active NPI

Corey Andrew Bryan, DPT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1861124158
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215130 Issued in VA
Practice address
2363 Roux St Ste 102
Richmond, VA 23230-2384
Phone
(804) 215-2600
NPI assigned
Jun 27, 2022
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305215130 VA Primary

Addresses

Primary practice location

2363 Roux St Ste 102
Richmond, VA 23230-2384

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503000530 VA Practitioner - Physical Therapist in Private Practice 5890150502 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians
Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

138 Stoneridge Dr N
Suite 4
Ruckersville, VA 22968-3063
Phone (434) 985-2288

2363 Roux St
Suite 102
Richmond, VA 23230-2384
Phone (804) 215-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215130VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Sportscare & Rehab, LLC Physical Therapist CurrentSince Jan 21, 2026 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Jan 21, 2026 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jan 21, 2026 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jan 21, 2026 Accepting new patients
Arthritis & Sports Orthopaedics PC Physical Therapist CurrentSince Feb 17, 2025 Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Jan 21, 2026 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
Progress Rehabilitation Network, LLC Physical Therapist PastSince Dec 21, 2022 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

11662 Sudley Manor Dr
#50B
Manassas, VA 20109
Phone (571) 321-5720

2363 Roux St
Ste 102
Richmond, VA 23230
Phone (804) 215-2600

138 Stoneridge Dr N
Ste 4
Ruckersville, VA 22968
Phone (434) 985-2288

21475 Ridgetop Cir
Ste 150
Sterling, VA 20166
Phone (703) 433-2500

21475 Ridgetop Cir
Ste 260
Sterling, VA 20166
Phone (703) 433-0401

4625 Virginia Beach Blvd
Ste 103
Virginia Beach, VA 23462
Phone (757) 600-5999

Interoperability endpoints

  • Direct secure messaging: corey.bryan.p1@direct.tsiva.nextgenshare.com

Organizations & group practices 9

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1861124158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 ROUX ST STE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302384",
            "telephone_number": "804-215-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "COREY",
        "middle_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.