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NPI Code Detail

MEDICARE: MR. BRYANT MUSSELMAN P.T., D.P.T.

MEDICARE: MR. BRYANT MUSSELMAN P.T., D.P.T.
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
1225100000XPhysical TherapistPENDINGGA
2225100000XPhysical TherapistPT 25988FL
3225100000XPhysical TherapistPT033112PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT 25988OTHERFLFLORIDA PHYSICAL THERAPY LICENSE

General Provider Information

NPI Number : 1689976052
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BRYANT MUSSELMAN P.T., D.P.T.
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7217
Fax Number :
Provider Business Practice Location Address
First Line : 3120 PLEASANT VALLEY BLVD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4309
Country : US
Telephone Number : 814-949-4309
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2010
Last Update Date : 08/26/2025

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