Sharon Anne Ryan, PT – Physical Therapist

Key facts

NPI: 1093762437
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 11-03499 (KS)
Practice address: 1315 S Fountain Dr
Olathe, KS 66061-7205
Phone: (913) 829-3133
Fax: (913) 829-6011
NPI assigned: May 30, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Select Physical Therapy Holdings, Inc. Physical Therapy Clinic/Center · Lansing, KS · NPI 1104336338

Medicare reassignment NPD KS · PHYSICAL THERAPIST
Select Physical Therapy Holdings, Inc. Physical Therapy Clinic/Center · Mission, KS · NPI 1831717370

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in KS

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20170719000402	KS	Practitioner - Physical Therapist in Private Practice	6709156060	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
2005005733	MO	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Select Physical Therapy Holdings, Inc.		Current since May 11, 2023	Accepting new patients
Select Physical Therapy Holdings, Inc.	Physical Therapist	Current	Accepting new patients

Locations

100 E Kansas St
Ste C
Lansing, KS 66043
Phone (913) 758-0283

5922 Barkley St
Mission, KS 66202
Phone (913) 229-9440

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	2005005733	MO
Physical Therapist	225100000X	11-03499	KS	Yes

Addresses

Primary practice location

1315 S Fountain Dr
Olathe, KS 66061-7205

Mailing address

1315 S Fountain Dr
Olathe, KS 66061-7205
Phone (913) 829-3133

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 8, 2010.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1093762437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S FOUNTAIN DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617205",
            "telephone_number": "913-829-3133",
            "fax_number": "913-829-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S FOUNTAIN DR",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617205",
            "telephone_number": "913-829-3133",
            "fax_number": "913-829-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SHARON",
        "middle_name": "ANNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005005733",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-03499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

All providers in Olathe, KS · Physical Therapist in Kansas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2010. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.