Bryan M Hannley, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3279 Issued in AZ

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

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Orthomed LLC

  • Physical Therapist
  • Phoenix, AZ
  • NPI 1487670550
  NPD (past)
• Orthomed, LLC

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1982962221
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914201",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack Hannallah, MD, MBA, MPH
• John Patrick Hannan, PEER SUPPORT SPECIAL
• Katlyn Hannan, PT, DPT
• Matthew North Hannan, D.D.S.
• Philipp Lorenz Hannan, M.D.
• Cameron Hannum, PHARMD
• Claudia Maria Hannum, LASAC
• Hanover Lithotripsy, LLC
• Jonathan Michael Hanscom, PT, DPT
• Mary A Hansen Smith

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• 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.

Verify at the official NPI Registry.