Heather Bryan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

7016 S Shore Dr S
South Pasadena, FL 33707-4605

Phone

(727) 638-8801

NPI assigned

Aug 31, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1922475516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7016 S SHORE DR S",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074605",
            "telephone_number": "727-638-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7016 S SHORE DR S",
            "city": "SOUTH PASADENA",
            "state": "FL",
            "postal_code": "337074605",
            "telephone_number": "727-638-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "HEATHER",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan K. Bolds, D.D.S.
• Roberto Borrero Lugo, M.D.
• Braved Behavioral Health Institute Inc
• Fritz Daniel Brink, D.O.
• Hannah Brown
• Michele Constance Bryant, OTR/L
• Tyler Jay Burdsall, PT, DPT
• Virginia Burgess, MSW
• Kevin Jonathan Caceres, MD
• Rachel Calcaterra, DPT

• Physical Therapy Assistant in South Pasadena, FL
• Providers in South Pasadena, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.