Individual provider Active NPI

Brant Jeremy Reyerson, MSPT, LAT, CSCS

  • Physical Therapist
  • Bondurant, IA
National Provider Identifier
1861458358
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03597 Issued in IA
Practice address
87 Paine St SE Ste 1And2
Bondurant, IA 50035-1451
Phone
(515) 984-8200
Fax
(515) 984-8008
NPI assigned
Apr 24, 2006
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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 03597 IA Primary

Addresses

Primary practice location

87 Paine St SE Ste 1And2
Bondurant, IA 50035-1451

Mailing address

87 Paine St SE Ste 1And2
Bondurant, IA 50035-1451
Phone (515) 984-8200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712000161 IA Practitioner - Physical Therapist in Private Practice 1658307665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

411 E 6TH St
Madrid, IA 50156-1607
Phone (515) 795-5058

5900 NW 86TH St
Suite 200
Johnston, IA 50131-2284
Phone (515) 278-8151

87 Paine St SE
Bondurant, IA 50035-1451
Phone (515) 984-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03597IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Physio LLC Physical Therapist CurrentSince May 23, 2025 Accepting new patients
Physiotherapy Associates Inc Current Accepting new patients
Physiotherapy Associates Inc CurrentSince May 29, 2008 Accepting new patients
Central Iowa Physio LLC Current Accepting new patients
Physiotherapy Associates, Inc. CurrentSince May 29, 2008 Accepting new patients
Central Iowa Physio, LLC CurrentSince May 23, 2025 Accepting new patients
Sportsplus Sports Medicine and Physical Therapy Center Inc PastSince Jun 1, 1999 Accepting new patients
Physiotherapy Associates Inc Physical Therapist Past Accepting new patients
Sportsplus Physical Therapy GC LLC Physical Therapist Past Accepting new patients

Locations

3770 8th St SW
Ste A
Altoona, IA 50009
Phone (515) 585-0805

1555 S 1st Ave
Iowa City, IA 52240
Phone (319) 248-6800

5900 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 278-8151

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

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": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1861458358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 PAINE ST SE STE 1AND2",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351451",
            "telephone_number": "515-984-8200",
            "fax_number": "515-984-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 PAINE ST SE STE 1AND2",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351451",
            "telephone_number": "515-984-8200",
            "fax_number": "515-984-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYERSON",
        "first_name": "BRANT",
        "middle_name": "JEREMY",
        "credential": "MSPT, LAT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "03597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bondurant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.