Healthcare Provider Details

I. General information

NPI: 1619225117
Provider Name (Legal Business Name): BRYAN JAMES NOTH P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2012
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 HOSPITAL DR STE A
BREVARD NC
28712-4838
US

IV. Provider business mailing address

PO BOX 5105
BELFAST ME
04915-5100
US

V. Phone/Fax

Practice location:
  • Phone: 828-258-8800
  • Fax: 828-258-0416
Mailing address:
  • Phone: 828-258-8800
  • Fax: 828-258-0416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1219937
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP25316
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: