Ryan A. Conwell, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT011300 Issued in GA

Practice address

216 Harrison LN
Brunswick, GA 31520-1959

Phone

(912) 342-8982

Fax

(912) 275-7677

NPI assigned

Oct 15, 2024

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Emory University School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Excelarate Physical Therapy

  • Orthopedic Physical Therapist
  • Brunswick, GA
  • NPI 1356818652
  Medicare reassignment NPD

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1083434864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 HARRISON LN",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201959",
            "telephone_number": "912-342-8982",
            "fax_number": "912-275-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 HARRISON LN",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201959",
            "telephone_number": "912-342-8982",
            "fax_number": "912-275-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWELL",
        "first_name": "RYAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "GA",
            "license": "PT011300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Colon, MA
• Howard Emri Comer, OD
• Concerned Companion Care
• James K Conlan, MD
• Consultants in Pain Medicine, LLC
• Tanya Cook, RN
• Douglas Thurman Cooper, M.D.
• Michael Townsend Cooper Jr., M.D.
• Cooperative Healthcare Services Inc
• Cooperative Healthcare Services, Inc.

• Orthopedic Physical Therapist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Orthopedic Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.

Verify at the official NPI Registry.