| Justin Andrew Bryan, DPT | |
|
1106 Fountain Park Cir, Brunswick, GA 31520-4806 | |
| (912) 262-2151 | |
| Not Available |
| Full Name | Justin Andrew Bryan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1106 Fountain Park Cir, Brunswick, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730851841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 37485 (Florida) | Secondary |
| 225100000X | Physical Therapist | PT37485 (Florida) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Functional Pathways Preferred Of Tennessee Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1841561446 PECOS PAC ID: 2860649654 Enrollment ID: O20130531000379 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Andrew Bryan, DPT 1200 Corporate Dr Ste 400, Hoover, AL 35242-5424 Ph: (866) 518-0283 | Justin Andrew Bryan, DPT 1106 Fountain Park Cir, Brunswick, GA 31520-4806 Ph: (912) 262-2151 |
Ashley M. Tindle, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1106 Fountain Park Cir, Brunswick, GA 31520 Phone: 912-262-2151 Fax: 912-262-2754 | |
Mr. Jesus M Abad, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-2660 | |
Mrs. Amy Hamm Faircloth, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2415 Parkwood Dr, Brunswick, GA 31520 Phone: 912-466-2660 | |
Audrey E Herbert, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3231 Glynn Ave, Brunswick, GA 31520 Phone: 912-265-9006 Fax: 912-554-3636 | |
Dr. Ryan A. Conwell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 216 Harrison Ln, Brunswick, GA 31520 Phone: 912-342-8982 Fax: 912-275-7677 | |
Lacie L Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4204 Coral Park Dr, Brunswick, GA 31520 Phone: 912-280-9205 Fax: 912-280-0022 | |
Bradley David Seuntjens, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4204 Coral Park Dr, Brunswick, GA 31520 Phone: 912-280-9205 Fax: 912-280-0022 |