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

Bryson Tanicala, PT, DPT

Individual provider Physical Therapist · NPI 1700615911

Bryson Tanicala, PT, DPT is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 2023, 3 years ago. Practices with Peak Condition LLC, a 6-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

10040 Alta Dr Ste 230
Las Vegas, NV 89145-8630
Phone: (725) 726-7847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1700615911
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Peak Condition Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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