P Praxis·MD
● Active Type 1 · Individual

MR. Bryan Kelly Kincannon

Physical Therapy Assistant·Van Alstyne, TX· NPI 1780988444 · Enumerated 2011 · 15 years on NPI
Kincannon is 1 of 1 physical therapy assistant providers in Van Alstyne and 1 of 5445 in Texas.
NPI age
15 years
Enumerated 2011-01-10
Primary specialty
Physical Therapy Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-01-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5445 active physical therapy assistant providers in Texas.

NPI age
15 years
↑ 8 yr above median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
5% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-01Enumerated in NPPES
2011 2026

Where they practice

Practice location
632 Windsor Way
Van Alstyne, TX 75495
📞 9034829324fax 9034829346
Mailing address
309 Equine Ln
Celina, TX 750094666
📞 8062235757

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    TX license #2052172 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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