Active NPI
Vernon Thomas Bryant Jr., RKT
- Kinesiotherapist
- Raleigh, NC
National Provider Identifier
1891039160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 1848
- Practice address
- 3714 Cyrus St
Raleigh, NC 27610-6423 - Phone
- (919) 866-9951
- NPI assigned
- Nov 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 1848 | NC | Primary |
Addresses
Primary practice location
3714 Cyrus St
Raleigh, NC 27610-6423
Mailing address
3714 Cyrus St
Raleigh, NC 27610-6423
Phone (919) 866-9951
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1848 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1891039160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3714 CYRUS ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276106423",
"telephone_number": "919-866-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3714 CYRUS ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276106423",
"telephone_number": "919-866-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "VERNON",
"middle_name": "THOMAS",
"name_suffix": "Jr.",
"credential": "RKT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-11-26",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": "NC",
"license": "1848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.