Ryan Kathalynas, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038011681 Issued in IL

Practice address

206 E Church St Ste a
Benton, IL 62812-2239

Phone

(618) 435-9393

Fax

(618) 937-0463

NPI assigned

May 14, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kathalynas Spine, Sport and Rehabilitation LLCGroup PAC ID 9234324955, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kathalynas Spine, Sport & Rehabilitation LLC

  • Physical Therapist
  • Benton, IL
  • NPI 1336468966

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official
• Marvel Chiropractic and Wellness Center LLC

  • Chiropractor
  • Johnston City, IL
  • NPI 1699924373
  NPD (past)

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1013235092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 E CHURCH ST STE A",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628122239",
            "telephone_number": "618-435-9393",
            "fax_number": "618-937-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E CHURCH ST STE A",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628122239",
            "telephone_number": "618-435-9393",
            "fax_number": "618-937-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHALYNAS",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038011681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Hudson, FNP
• Dawn A Jackson-Breeden, DMD
• John T Hall M.D.
• Kathalynas Spine, Sport & Rehabilitation LLC
• Allyson Lynne Kathalynas, D. C.
• Ashley S Kaytor-McCoy, MD
• Saeed Ahmad Khan, MD
• Samantha Ann Kimble, LCSW
• Kimmel-Chaplain Pharmacy LTD
• Kayla Lorraine Kimmel, FNP

• Chiropractor in Benton, IL
• Providers in Benton, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.