Brennan Kelley Ryan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305206096 Issued in VA

Practice address

2008 Grove Ave
Richmond, VA 23220-4534

Phone

(312) 550-5436

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pelvic Prana, LLC

  dba RVA Holistic PT

  • Physical Therapist
  • Richmond, VA
  • NPI 1518589902
  NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1073655452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204603",
            "telephone_number": "312-550-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 GROVE AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204534",
            "telephone_number": "312-550-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "BRENNAN",
        "middle_name": "KELLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305206096",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rvarides4U LLC
• Alison A Ryan, N.P.
• Andrea Sommer Ryan, QMHP-T
• Ann-Elizabeth Ryan
• Avery Ryan, M.ED, CCC-SLP
• Katherine Anne Ryan, PH.D LCSW
• Kristen Ryan, M.D.
• Lawrence Brielman Ryan, MD
• Mark Hehman Ryan, MD
• Patrick W.a. Ryan, OD

• Physical Therapist in Richmond, VA
• Providers in Richmond, VA by specialty
• Physical Therapist in Virginia

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