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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRYAN FEDERICO, DOCTOR OF PHYSICAL T

Active

MR. BRYAN FEDERICO, DOCTOR OF PHYSICAL T is a Physical Therapy Assistant healthcare provider located in JOHNSON CITY, Tennessee. NPI 1689741639 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · JOHNSON CITY, TN

Registration Details

NPI Number
1689741639
Provider Type
Individual
Gender
Male
NPI Issued
Nov 28, 2006 (19.707309237649 yrs)
Last Updated
Dec 2, 2025
Licenses
05146R (LA)
8823 (NC)
12513 (TN)

Practice Information

Address
907 BUFFALO ST
JOHNSON CITY, TN, 376046719
Browse TN providers · Browse ZIP 37604
Phone
4234306611
Fax
4238151051
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in JOHNSON CITY, TN

Name Credential NPI
JEREMY COOK P.T. 1043294515
ALISA D. SMITH LPT 1659357697
MS. KIMBERLY K. MCGLOTHLIN PT 1972553428
AMANDA M MINICK PT 1063429462
COURTNEY D HALL P.T. 1851402507
MS. VICKIE ANNETTE WHITE PT 1861598161
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.