BRYSON TANICALA PT, DPT
NPI 1700615911
Physical Therapist in Las Vegas, NV
About Bryson Tanicala Pt, Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRYSON TANICALA PT, DPT (NPI 1700615911) is an individual physical therapist in Las Vegas, Nevada and active in the NPI registry since July 2024. He is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bryson Tanicala Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Bryson Tanicala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Las Vegas, NV 89118
- Reassigned Medicare billing, Nevada enrollment
- 6 clinicians in this Medicare group
Las Vegas, NV 89118
- Reassigned Medicare billing, Nevada enrollment
- 63 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 89145 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bryson Tanicala's NPI number?
The NPI number for Bryson Tanicala is 1700615911. It was assigned to this individual provider in the NPPES registry on July 29, 2024.
Where is Bryson Tanicala located?
Bryson Tanicala practices at 10040 Alta Dr Ste 230, Las Vegas, NV 89145. The listed phone number is (725) 726-7847.
What is Bryson Tanicala's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Bryson Tanicala enrolled in Medicare?
Yes. Bryson Tanicala is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bryson Tanicala's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bryson Tanicala reassigns Medicare benefits to 2 organizations: Peak Condition LLC (Las Vegas, NV) and Smith Therapy Partners (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryson Tanicala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bryson Tanicala was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.