Individual provider Active NPI

Ryan Mueller

  • Neurology Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1073106142
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
0014799 Issued in CO
Practice address
114 Sunbird Cliffs LN
Colorado Springs, CO 80919-8013
Phone
(847) 502-5971
Fax
(719) 691-7994
NPI assigned
Feb 18, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X 0014799 CO Primary

Addresses

Primary practice location

114 Sunbird Cliffs LN
Colorado Springs, CO 80919-8013

Mailing address

114 Sunbird Cliffs LN
Colorado Springs, CO 80919-8013
Phone (847) 502-5971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210309003071 CO Practitioner - Physical Therapist in Private Practice 9133535503 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0014799COMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Logic Rehabilitation and Wellness Neurology CurrentSince Feb 18, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25501/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1073106142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 SUNBIRD CLIFFS LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809198013",
            "telephone_number": "847-502-5971",
            "fax_number": "719-691-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SUNBIRD CLIFFS LN",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809198013",
            "telephone_number": "847-502-5971",
            "fax_number": "719-691-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CO",
            "license": "0014799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.