Organization Active NPI

Bryan Rehabiltation Services, Inc.

Doing business as Liberty Physical Therapy

  • Physical Therapist
  • Liberty, TX
National Provider Identifier
1952398703
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6125800 Issued in TX
Legal business name
BRYAN REHABILTATION SERVICES, INC.
Doing business as
Liberty Physical Therapy
Practice address
1200 Highway 90
Liberty, TX 77575-5718
Phone
(936) 336-2241
Fax
(936) 336-9083
NPI assigned
Oct 5, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Harold Bryan, B.S.
Title
President/Administrator
Phone
(936) 336-2241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 6125800 TX Primary

Addresses

Primary practice location

1200 Highway 90
Liberty, TX 77575-5718

Mailing address

1200 Highway 90
Liberty, TX 77575-5718
Phone (936) 336-2241

Other names 1

  • Liberty Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952398703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HIGHWAY 90",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775755718",
            "telephone_number": "936-336-2241",
            "fax_number": "936-336-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HIGHWAY 90",
            "city": "LIBERTY",
            "state": "TX",
            "postal_code": "775755718",
            "telephone_number": "936-336-2241",
            "fax_number": "936-336-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN REHABILTATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "936-336-2241",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "6125800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberty, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.