Ryan Neall, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-5879 Issued in ID

Practice address

640 N Thornton St
Post Falls, ID 83854-7495

Phone

(208) 773-2888

Fax

(208) 806-0222

NPI assigned

Aug 27, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Mac Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Post Falls, ID
  • NPI 1528441300
  NPD

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1053892034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 N THORNTON ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547495",
            "telephone_number": "208-773-2888",
            "fax_number": "208-806-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N THORNTON ST",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547495",
            "telephone_number": "208-773-2888",
            "fax_number": "208-806-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALL",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-5879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Patrick Mulvey, MD
• Amber Naccarato
• Lee Edward Nagle, PT, DPT
• Aditya Nathan
• Garrett Naveran, DC
• Sandra Ann Nearing
• Kassandra Rose Neff, DPT
• Christina Rebekah Neisinger, PHARMD
• Maurica Ladaughn Nelsen, LCSW
• Caleb Nelson

• Physical Therapist in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.