Erica Anne Ryan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9000 Issued in CO

Practice address

142 E Beaver Creek Blvd Unit 109
Avon, CO 81620-4800

Phone

(970) 790-9600

NPI assigned

Oct 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Erica Anne Shifflett Former name

Medicare fee-for-service enrollment

Enrolled in CO, MO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Medicine and Training CenterGroup PAC ID 6305854761, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Sports Medicine and Training Center

  • Physical Therapy Clinic/Center
  • St. Louis, MO
  • NPI 1790873883
  Medicare reassignment Care Compare group
• Axis Sports Medicine, LLC

  • Physical Therapist
  • Avon, CO
  • NPI 1952652984
  Medicare reassignment NPD
• Axis Sports Medicine, LLC

  • Physical Therapist
  • Breckenridge, CO
  • NPI 1750049821
  NPD

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1013106913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 MARBLE H 136",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "720-648-7232",
            "fax_number": "970-569-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E BEAVER CREEK BLVD UNIT 109",
            "city": "AVON",
            "state": "CO",
            "postal_code": "816204800",
            "telephone_number": "970-790-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "69 Marble H 136",
            "address_purpose": "LOCATION",
            "city": "Edwards",
            "state": "CO",
            "postal_code": "81632",
            "country_code": "US",
            "telephone_number": "720-648-7232",
            "fax_number": "970-569-3884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ERICA",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "SHIFFLETT",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Revolutio LLC
• Jessica Richie, PHARMD
• Rimu Respiratory LLC
• Sandra Jo Albert Rose
• Jefferson A Roth, D.C.
• Keith Phillips Samuels, M.D.
• Michael Santambrogio, MA, LPC
• Anika Sasinski, PA-C
• Gregory James Schleis, MD
• Tyler Joseph Schmidt, FNP

• Physical Therapist in Avon, CO
• Providers in Avon, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.