Ryan Flipse, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

12937 Wicker Ave
Cedar Lake, IN 46303-9343

Phone

(219) 979-2734

Fax

(219) 924-4978

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tricore Physical Therapy IncGroup PAC ID 2860646486, 5 clinicians

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.

• Tricore Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Saint John, IN
  • NPI 1588918486

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1114957933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10388 REDWOOD DRIVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739502",
            "telephone_number": "219-365-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12937 WICKER AVE",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039343",
            "telephone_number": "219-979-2734",
            "fax_number": "219-924-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIPSE",
        "first_name": "RYAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05007929A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Rae Disterheft, OD
• Lisa Antoinette Duffley-Kazmierski, D.T.
• Edgewater Systems for Balanced Living, Inc
• Empower Workforce Solutions LLC
• Flexeon Rehabilitation of Cedar Lake, LLC
• Scarlett Rachel Fox, MS,CCC-SLP
• Michelle Gehring
• Gerstenkorn Family Chiropractic, P.C.
• Scott Alan Gerstenkorn, D.C.
• Kaitlyn Renae Gibson, OD

• Physical Therapist in Cedar Lake, IN
• Providers in Cedar Lake, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.