Individual provider Active NPI

Ryan Michael Somers, DPT

  • Physical Therapist
  • Lake Forest, CA
National Provider Identifier
1003033176
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 33635 Issued in CA
Practice address
22772 Centre Dr Ste 100
Lake Forest, CA 92630-6303
Phone
(949) 955-9499
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 33635 CA Primary

Addresses

Primary practice location

22772 Centre Dr Ste 100
Lake Forest, CA 92630-6303

Mailing address

9942 Foxrun Rd
Santa Ana, CA 92705-6103
Phone (626) 319-0948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 33635CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Physical Therapy, Inc CurrentSince Apr 20, 2007 Accepting new patients
Sequoia Physical Therapy Research Institute Inc PastSince Apr 20, 2007 Accepting new patients

Locations

6131 Orangethorpe Ave
Ste 135
Buena Park, CA 90620
Phone (714) 523-3822

6131 Orangethorpe Ave
Ste 180
Buena Park, CA 90620
Phone (714) 523-5030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1003033176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9942 FOXRUN RD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927056103",
            "telephone_number": "626-319-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22772 CENTRE DR STE 100",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306303",
            "telephone_number": "949-955-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMERS",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 33635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.