Mr Bryan Federico, DOCTOR OF PHYSICAL T - Medicare Physical Therapist in Johnson City, TN

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Mr Bryan Federico, DOCTOR OF PHYSICAL T is a medicare enrolled "Physical Therapist" provider in Johnson City, Tennessee. His current practice location is 907 Buffalo St, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 430-6611.

Mr Bryan Federico is licensed to practice in Louisiana (license number 05146R) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689741639.

Contact Information

Mr Bryan Federico, DOCTOR OF PHYSICAL T
907 Buffalo St,
Johnson City, TN 37604-6719
(423) 430-6611
(423) 815-1051

Map and Direction




Healthcare Provider's Profile

Full NameMr Bryan Federico
GenderMale
SpecialityPhysical Therapist
Location907 Buffalo St, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689741639
  • Provider Enumeration Date: 11/28/2006
  • Last Update Date: 12/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7214278365
  • Enrollment ID: I20190730004106

Medical Identifiers

Medical identifiers for Mr Bryan Federico such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689741639NPI-NPPES
05146ROtherLAPHYSICAL THERAPY LICENSE
0000012513OtherTNLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 05146R (Louisiana)Primary
225100000XPhysical Therapist 8823 (North Carolina)Secondary
225100000XPhysical Therapist 12513 (Tennessee)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Bryan Federico allows following entities to bill medicare on his behalf.
Provider NameWatauga Orthopaedics Plc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245251404
PECOS PAC ID: 1456246479
Enrollment ID: O20040218000903
Provider NameIndependent Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1104878354
PECOS PAC ID: 9335056308
Enrollment ID: O20040928000202

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Bryan Federico is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Bryan Federico, DOCTOR OF PHYSICAL T
907 Buffalo St,
Johnson City, TN 37604-6719

Ph: (423) 430-6611		Mr Bryan Federico, DOCTOR OF PHYSICAL T
907 Buffalo St,
Johnson City, TN 37604-6719

Ph: (423) 430-6611

Reviews and Comments


Physical Therapist in Johnson City, TN

James Montgomery Shumate, PT, DPT
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Alexis Beach,
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Phone: 423-291-0234    
Amanda M Minick, PT
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Practice Location: 1043 Jack Vest Dr, Johnson City, TN 37614
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Megan Larose, DPT
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Practice Location: 5205 Bobby Hicks Hwy Ste 6, Johnson City, TN 37615
Phone: 423-473-0480    
Jacqueline Ann White, DPT
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Practice Location: 612 Lyle St Ste 118, Johnson City, TN 37604
Phone: 423-328-3156    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.