Active NPI
Bryan M Hannley, P.T.
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1891757175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3279
- Practice address
- 3100 N Campbell Ave
Suite 101
Tucson, AZ 85719-7305 - Phone
- (520) 797-7246
- Fax
- (866) 281-9515
- NPI assigned
- Apr 4, 2006
- Last updated
- Aug 24, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3279 | AZ | Primary |
Addresses
Primary practice location
3100 N Campbell Ave
Suite 101
Tucson, AZ 85719-7305
Mailing address
3100 N Campbell Ave
Suite 101
Tucson, AZ 85719-7305
Phone (520) 797-7246
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3279 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomed LLC | Physical Therapist | Past | Accepting new patients |
| Orthomed, LLC | Past | Accepting new patients |
Organizations & group practices 2
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": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1891757175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 N CAMPBELL AVE",
"address_2": "SUITE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857197305",
"telephone_number": "520-797-7246",
"fax_number": "866-281-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 N CAMPBELL AVE",
"address_2": "SUITE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857197305",
"telephone_number": "520-797-7246",
"fax_number": "866-281-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNLEY",
"first_name": "BRYAN",
"middle_name": "M",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "3279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.