| Bryson Tanicala, PT, DPT | |
|
10040 Alta Dr Ste 230, Las Vegas, NV 89145-8630 | |
| (725) 726-7847 | |
| Not Available |
| Full Name | Bryson Tanicala |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 10040 Alta Dr Ste 230, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700615911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Peak Condition Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205810827 PECOS PAC ID: 6204885841 Enrollment ID: O20050120000733 |
| Provider Name | Smith Therapy Partners |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1134758709 PECOS PAC ID: 1052731072 Enrollment ID: O20201013002673 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryson Tanicala, PT, DPT 8363 Aurora Ridge Ave, Las Vegas, NV 89147-6238 Ph: (808) 366-2710 | Bryson Tanicala, PT, DPT 10040 Alta Dr Ste 230, Las Vegas, NV 89145-8630 Ph: (725) 726-7847 |
Athleticare, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 8333 S Eastern Ave, Las Vegas, NV 89123 Phone: 702-263-3802 Fax: 702-270-7740 | |
Ceferino Villafuerte, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2029 Winter Wind St, Las Vegas, NV 89134 Phone: 702-869-6714 | |
Kelsey Zane Daniels, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6345 S Jones Blvd Ste 300, Las Vegas, NV 89118 Phone: 702-515-4009 | |
Mr. Gladstone George, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2832 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-735-5848 Fax: 702-735-6218 | |
New Century Rehabilitation, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6830 W Oquendo Rd, Suite 101, Las Vegas, NV 89118 Phone: 702-258-3066 | |
Mr. Chanha Hwang, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9408 Del Webb Blvd, Las Vegas, NV 89134 Phone: 702-268-5090 | |
Christelle Fernandez, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4765 S Durango Dr Ste 106, Las Vegas, NV 89147 Phone: 702-898-7633 |