MEDICARE: BRIAN THOMAS BYRD DPT, MTC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT19778	FL
2	225100000X	Physical Therapist	13262	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013950468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN THOMAS BYRD DPT, MTC

Provider Business Mailing Address
First Line	:	PO BOX 681478
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-1478
Country	:	US
Telephone Number	:	615-591-6590
Fax Number	:	615-591-6601

Provider Business Practice Location Address
First Line	:	5010 SPEDALE CT
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-6105
Country	:	US
Telephone Number	:	931-486-0599
Fax Number	:	931-486-3962

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	03/29/2022

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