Ryan McQueen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13059 Issued in TN

Practice address

675 S Jefferson Ave Ste C
Cookeville, TN 38501-0949

Phone

(931) 528-8822

Fax

(931) 528-8822

NPI assigned

Aug 24, 2020

Last updated

May 17, 2023By the provider in NPPES

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 TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tennessee Therapy and Balance Center, LLCGroup PAC ID 9739303462, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1385/brand/1/csg/1/fhir/r4

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

• Tennessee Therapy & Balance Center, LLC

  • Physical Therapy Clinic/Center
  • Cookeville, TN
  • NPI 1942624341
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1013529718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 S JEFFERSON AVE STE C",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010949",
            "telephone_number": "931-528-8822",
            "fax_number": "931-528-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S JEFFERSON AVE STE C",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385010949",
            "telephone_number": "931-528-8822",
            "fax_number": "931-528-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James D McKinney, MD
• Lexa McLauchlin
• Amy Lanea McLerran, LPN
• Yvonne McMahon, M.D.
• Mark Hallie McMullan, FNP-C
• Sallie Elisabeth McWilliams, COTA/L
• Breanna Jane Meadows, NP
• Joanna Hope Meadows, RN
• Natasha D Meadows, MD
• Monica Lynne Means, FNP

• Physical Therapist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.