Active NPI
Ryan Stephen Roessler, DPT
- Physical Therapist
- Fort Worth, TX
National Provider Identifier
1083239305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1334849
- Practice address
- 1001 12TH Ave Ste 201
Fort Worth, TX 76104-3946 - Phone
- (817) 719-7714
- NPI assigned
- Jun 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1334849 | TX | Primary |
Addresses
Primary practice location
1001 12TH Ave Ste 201
Fort Worth, TX 76104-3946
Mailing address
1001 12TH Ave Ste 201
Fort Worth, TX 76104-3946
Phone (817) 719-7714
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 12TH Ave
Suite 201
Fort Worth, TX 76104-3946
Phone (817) 719-7714
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clearcut Ortho, LLC | Physical Therapist | Current | Accepting new patients |
| Fort Worth Head Neck and Jaw PLLC | Current | Accepting new patients | |
| Peter D Leonard, M.D. PA | Past | Accepting new patients |
Locations
6145 Wedgwood Dr
Fort Worth, TX 76133
Phone (817) 370-8022
1001 12th Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 719-7714
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FIDCCD/Endpoint/FIDCCD
Organizations & group practices 3
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.
-
- Physical Therapist
- Fort Worth, TX
- NPI 1720565583
-
- Physical Therapy Clinic/Center
- Fort Worth, TX
- NPI 1326584111
-
- Specialist
- Plano, TX
- NPI 1699132589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1083239305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 12TH AVE STE 201",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043946",
"telephone_number": "817-719-7714",
"fax_number": "817-841-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 12TH AVE STE 201",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761043946",
"telephone_number": "817-719-7714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESSLER",
"first_name": "RYAN",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-12",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1334849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.