Victoria Ryan, PA-C

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

7995 Issued in AZ

Practice address

2509 S. Power Rd.
Ste. 115
Mesa, AZ 85209

Phone

(724) 933-0300

NPI assigned

Oct 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infinite Health and Wellness Centers PLLCGroup PAC ID 4789851700, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Infinite Health & Wellness Centers PLLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1114206638
  Medicare reassignment Care Compare group
• Advanced Pain Medicine PC

  • Pain Medicine Physician
  • Wexford, PA
  • NPI 1093733933
  Medicare reassignment

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1003457490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 S. POWER RD.",
            "address_2": "STE. 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85209",
            "telephone_number": "724-933-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 S. POWER RD.",
            "address_2": "STE. 115",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85209",
            "telephone_number": "724-933-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-07",
        "last_updated": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "7995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1093733933",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "7249330456",
            "affiliation": "N",
            "address_1": "7000 Stonewood Dr Ste 151",
            "city": "Wexford",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150907376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ryan S. Wallin, DDS, PC
• James Matthew Ryan, M.D.
• Lari Suzanne Ryan, APRN
• Melanie Louise Ryan, FNP-C
• Michelle Shelley Ryan, LISAC
• William Garrett Ryan, CRNA
• Rybar Anesthesiology PLLC
• Harla M Ryder, L.M.T
• Daniel Lev Ryklin, MD
• Ryse Therapeutic Counseling LLC

• Physical Medicine & Rehabilitation Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Medicine & Rehabilitation Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.