Active NPI
Ryan Alexander McBride, OTR/L
- Occupational Therapist
- Vacaville, CA
National Provider Identifier
1093490385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 24889
- Practice address
- 799 Yellowstone Dr
Vacaville, CA 95687-3449 - Phone
- (707) 371-5470
- NPI assigned
- Jun 15, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 24889 | CA | |
| Occupational Therapist | 225X00000X | 24889 | CA | Primary |
| Gerontology Occupational Therapist | 225XG0600X | 24889 | CA |
Addresses
Primary practice location
799 Yellowstone Dr
Vacaville, CA 95687-3449
Mailing address
1309 Marina Cir
Davis, CA 95616-2622
Phone (530) 304-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24889 | CA | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1093490385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 MARINA CIR",
"city": "DAVIS",
"state": "CA",
"postal_code": "956162622",
"telephone_number": "530-304-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 YELLOWSTONE DR",
"city": "VACAVILLE",
"state": "CA",
"postal_code": "956873449",
"telephone_number": "707-371-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "RYAN",
"middle_name": "ALEXANDER",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-15",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CA",
"license": "24889",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "24889",
"primary": true
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "CA",
"license": "24889",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vacaville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.