Individual provider Active NPI

Sharon Anne Ryan, PT

  • Physical Therapist
  • Olathe, KS
National Provider Identifier
1093762437
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-03499 Issued in KS
Practice address
1315 S Fountain Dr
Olathe, KS 66061-7205
Phone
(913) 829-3133
Fax
(913) 829-6011
NPI assigned
May 30, 2006
Last updated
Jun 8, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2005005733 MO
Physical Therapist 225100000X 11-03499 KS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170719000402 KS Practitioner - Physical Therapist in Private Practice 6709156060 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-03499KSMDPhysical Therapist
2005005733MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings, Inc. Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings, Inc. CurrentSince May 11, 2023 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.