Provider Demographics
NPI:1588449417
Name:BRYDA, MASON (DPT)
Entity type:Individual
Prefix:
First Name:MASON
Middle Name:
Last Name:BRYDA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3434 CARMAN RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-5369
Mailing Address - Country:US
Mailing Address - Phone:518-356-7445
Mailing Address - Fax:518-356-7445
Practice Address - Street 1:375 WAMPANOAG TRL STE 403
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:RI
Practice Address - Zip Code:02915-2237
Practice Address - Country:US
Practice Address - Phone:401-270-8770
Practice Address - Fax:401-433-0612
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
225100000X
RIPT03921225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist