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

Mr. Bryan D Hathaway, PT

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1669535563

Mr. Bryan D Hathaway, PT is a Physical Therapist in Private Practice in Owego, New York. Qualified in 1990, 36 years ago. Practices with Peak Performance Physical Therapy PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

115 Hickories Park Rd
Owego, NY 13827-4845
Phone: (607) 687-7645
Fax: (607) 687-7646
Show map & directions

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

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 0116511 (NY)

Record details

NPI number1669535563
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address115 Hickories Park Road, Owego, NY 13827

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Peak Performance Physical Therapy Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount