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

Mr. Bryan Federico, DOCTOROFPHYSICALT

Individual provider Physical Therapist · NPI 1689741639

Mr. Bryan Federico, DOCTOROFPHYSICALT is a Physical Therapist in Private Practice in Johnson City, Tennessee. Qualified in 2001, 25 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Louisiana, North Carolina and Tennessee.

Years since qualifying
25
Licensed in
LA, NC, TN
In the registry since
2006
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

907 Buffalo St
Johnson City, TN 37604-6719
Phone: (423) 430-6611
Fax: (423) 815-1051
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 420 Railroad St, Elizabethton, TN 37643-2504 — (423) 297-1813

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05146R (LA)
Physical Therapist Taxonomy 225100000X · Licence 8823 (NC)
Physical Therapist Taxonomy 225100000X · Licence 12513 (TN)

Record details

NPI number1689741639
Entity typeIndividual (Type 1)
GenderMale
Credentials DOCTOROFPHYSICALT
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Johnson City