Bryson Tanicala, PT, DPT
NPI 1700615911 · Physical Therapist · Las Vegas, NV
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bryson Tanicala, PT, DPT is a Physical Therapist provider in Las Vegas, NV (NPI 1700615911).
Provider details
- NPI number
- 1700615911
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-07-29
- Last updated
- 2024-11-18
- Certified
- 2024-11-18
Frequently asked questions
- What is Bryson Tanicala's NPI number?
- Bryson Tanicala's National Provider Identifier (NPI) is 1700615911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryson Tanicala's specialty?
- Bryson Tanicala is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Bryson Tanicala located?
- Bryson Tanicala's practice location on file with NPPES is 10040 Alta Dr Ste 230, Las Vegas, NV 89145-8630.
- What is Bryson Tanicala's phone number?
- The practice phone number listed in the NPPES registry for Bryson Tanicala is (725) 726-7847.
- Does Bryson Tanicala accept Medicare?
- Bryson Tanicala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bryson Tanicala's NPI active?
- Yes — Bryson Tanicala's NPI (1700615911) is active in the NPPES registry as of the last update on 2024-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.