Jennifer Hill Ryan, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13946 Issued in CA

Practice address

5801 Crestridge Rd
Rancho Palos Verdes, CA 90275-4961

Phone

(877) 582-0153

NPI assigned

Jun 24, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1043871833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 CRESTRIDGE RD",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902754961",
            "telephone_number": "877-582-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 CRESTRIDGE RD",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902754961",
            "telephone_number": "877-582-0153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5801 Crestridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rancho Palos Verdes",
            "state": "CA",
            "postal_code": "902754961",
            "country_code": "US",
            "telephone_number": "877-582-0153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JENNIFER",
        "middle_name": "HILL",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.