Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bryan Hathcock, PTA

Individual provider Physical Therapy Assistant · NPI 1689201105

Bryan Hathcock, PTA is a Physical Therapy Assistant in Alton, Missouri. Licensed in Missouri. Registered with an NPI since 2020.

Licensed in
MO
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

100 Medical Dr
Alton, MO 65606
Phone: (417) 778-7227
Fax: (417) 778-7225
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2018026101 (MO)

Record details

NPI number1689201105
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESMarch 25, 2020
Certification dateMarch 25, 2020
Mailing address100 Medical Dr., Alton, MO 65606