BRYAN MICHAEL PHILLIPS (NPI# 1083095608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083095608 |
| Entity Type | Individual |
| Full Name | BRYAN MICHAEL PHILLIPS |
| Credential | LMT |
| Practice Address |
1565 Saxon Blvd Ste 301 Deltona FL 32725-5876 |
| Practice Telephone | 3868510901 |
| Mailing Telephone | 3868510901 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2015-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA74126 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629076278 | Bryan L Phillips | Pediatrics | 1600 Nw South Outer Rd, Blue Springs, MO 64015-2963 | 2005-07-08 |
| 1114923497 | Bryan J Phillips | Ophthalmology | 718 S Weber Road, Bolingbrook, IL 60490 | 2005-06-22 |
| 1568983922 | Bryan O Phillips | Physician Assistant | 400 Burdick Expy E, Minot, ND 58701-4768 | 2017-07-06 |
| 1205900065 | Bryan Robert Phillips | Physical Therapist | 1650 Lead Hill Blvd, 300, Roseville, CA 95661-3061 | 2006-11-20 |
| 1396826624 | Bryan R Phillips | Counselor | 2411 Martin Luther King Blvd, Eugene, OR 97401 | 2006-10-17 |
| 1962459255 | Bryan S Phillips | Social Worker | 560 Meyerland Plaza Mall, Houston, TX 77096-1615 | 2006-05-30 |
| Street Address |
1565 SAXON BLVD STE 301 |
| City | DELTONA |
| State | FL |
| Zip Code | 32725-5876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780624734 | Patty C Licata | Physical Therapist | 1565 Saxon Blvd, Suite 301, Deltona, FL 32725-5876 | 2006-06-07 |
| 1538668322 | Frank Denoff II | Rehabilitation Practitioner | 1565 Saxon Blvd, Deltona, FL 32725-5876 | 2018-02-07 |
| 1558885855 | Kayla Marie Boyle | Physical Therapist | 1565 Saxon Blvd, Deltona, FL 32725-5876 | 2017-07-28 |
| 1851828628 | Kristin Hallberg | Physical Therapist | 1565 Saxon Blvd, Suite 301, Deltona, FL 32725-5876 | 2017-05-11 |
| 1962941807 | Ability Health Services and Rehabilitation Lp | Durable Medical Equipment & Medical Supplies | 1565 Saxon Blvd, Suite 301, Deltona, FL 32725-5876 | 2017-02-13 |
| 1750766838 | Marc Rosa | Physical Therapist | 1565 Saxon Blvd, Ste 301, Deltona, FL 32725-5876 | 2015-07-30 |
| 1134504285 | Anthony Kim | Chiropractor | 1565 Saxon Blvd, Suite 103, Deltona, FL 32725-5876 | 2015-07-29 |
| 1649673112 | Amye-marie Gross Wichael | Physical Therapist | 1565 Saxon Blvd, Suite 301, Deltona, FL 32725-5876 | 2014-09-29 |
| 1154739126 | Sean Colman | Physical Therapy Assistant | 1565 Saxon Blvd, Suite 301, Deltona, FL 32725-5876 | 2014-07-23 |
| 1588071997 | Kimberly Wilkowski | Physical Therapy Assistant | 1565 Saxon Blvd, Deltona, FL 32725-5876 | 2014-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1235674359 | Danielle Nichole Nussel | Behavioral Analyst | 1729 Templewood Ave, Deltona, FL 32725 | 2016-12-28 |
| 1023550498 | Deltona Alf Management | Assisted Living Facility | 2306 N Normandy Blvd, Deltona, FL 32725 | 2016-11-16 |
| 1245781806 | Advanced Medical Care, LLC | Family Medicine | 734 Elkham Blvd, Deltona, FL 32725 | 2016-10-19 |
| 1932500170 | Onshk LLC | Pharmacy | 2091 Saxon Blvd, Suite 100, Deltona, FL 32725 | 2014-09-08 |
| 1104239706 | Natalie Beecham-coppin | Social Worker | 323 Diamond Street, Deltona, FL 32725 | 2014-06-11 |
| 1871893826 | John E Peats | Speech-Language Pathologist | 2979 Wild Pepper Avenue, Deltona, FL 32725 | 2010-10-25 |
| 1558682328 | Lisa Krupa | Counselor | 667 Deltona Blvd., Deltona, FL 32725 | 2010-06-16 |
| 1730407917 | Robert E Kent | Physical Medicine & Rehabilitation | 813 Deltona Blvd, Deltona, FL 32725 | 2010-05-12 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| Find all providers in zip 32725 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498854 | Sarah Garay | Massage Therapist | 1296 Howland Blvd, Deltona, FL 32738-9737 | 2020-08-20 |
| 1205242211 | Angela Schmidt | Massage Therapist | 2130 Glenlock Dr, Deltona, FL 32725-2309 | 2014-07-10 |
| 1598030439 | Donna Lynn Coleman | Massage Therapist | 2860 Blackburn Ave, Deltona, FL 32738-1866 | 2012-03-10 |
| 1669749859 | Daisy Faria-segarra | Massage Therapist | 3205 Noah St, Deltona, FL 32738-7108 | 2011-11-16 |
| 1396940755 | Jean M Kent | Massage Therapist | 2950 Norvell Ct, Deltona, FL 32738-7204 | 2007-06-17 |
| 1750398368 | Dalynes Cancel | Massage Therapist | 1223 Polk Ct, Deltona, FL 32738-6936 | 2006-08-03 |
| 1972509123 | Advantage Wellcare | Massage Therapist | 3244 Tealwood Ter, Deltona, FL 32725-3072 | 2005-06-22 |
| 1891019204 | Krista Nicole Franks | Massage Therapist | 1565 Saxon Blvd, Ste. 301, Deltona, FL 32725-5876 | 2010-03-15 |
| 1083889562 | Michelle Sara Rivera | Massage Therapist | 1240 E Normandy Blvd, Deltona, FL 32725-8484 | 2008-04-25 |
| 1871770180 | Shana Marie Smith | Massage Therapist | 1565 Saxon Blvd Ste 301, Deltona, FL 32725-5836 | 2008-01-29 |
| Find all providers in DELTONA | ||||
Please comment or provide details below to improve the information on BRYAN MICHAEL PHILLIPS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.