Active NPI
Ryne Richardson, DPT
- Physical Therapist
- Kirkland, WA
National Provider Identifier
1083922645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60189872
- Practice address
- 9762 NE 119TH Way
Kirkland, WA 98034-8955 - Phone
- (425) 823-8119
- Fax
- (425) 823-8282
- NPI assigned
- Sep 16, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60189872 | WA | Primary |
| Physical Therapist | 225100000X | 2010030201 | MO |
Addresses
Primary practice location
9762 NE 119TH Way
Kirkland, WA 98034-8955
Mailing address
16083 SW Upper Boones Ferry Rd
Suite 300
Tigard, OR 97224-7736
Phone (800) 219-8835
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083922645 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Washington University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
325 S University Rd
Suite 101
Spokane Valley, WA 99206-6164
Phone (509) 921-9798
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010030201 | MO | MD | Physical Therapist |
| PT60189872 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youthful Horizons Physical Therapy P S | Physical Therapist | Current | Accepting new patients |
| Bridle Trails Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Whitesel Protherapy | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Locations
325 S University Rd
Ste 101
Spokane Valley, WA 99206
Phone (509) 921-9798
Organizations & group practices 5
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
- Spokane Valley, WA
- NPI 1699823898
-
- Physical Therapist
- Redmond, WA
- NPI 1720460710
-
- Physical Therapist
- Kirkland, WA
- NPI 1689041139
-
- Physical Therapist
- Kirkland, WA
- NPI 1598806689
-
- Physical Therapist
- Portland, OR
- NPI 1700862000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352678400000",
"number": "1083922645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16083 SW UPPER BOONES FERRY RD",
"address_2": "SUITE 300",
"city": "TIGARD",
"state": "OR",
"postal_code": "972247736",
"telephone_number": "800-219-8835",
"fax_number": "503-639-9699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9762 NE 119TH WAY",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980348955",
"telephone_number": "425-823-8119",
"fax_number": "425-823-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "RYNE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-16",
"last_updated": "2012-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60189872",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2010030201",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083922645",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.