Individual provider Active NPI

Ryan Anthony Sales, M.P.T.

  • Physical Therapist
  • Campbell, CA
National Provider Identifier
1114980554
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28338 Issued in CA
Practice address
221 E Hacienda Ave Ste E
Campbell, CA 95008-6625
Phone
(408) 412-8130
Fax
(408) 412-8499
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT28338 CA Primary

Addresses

Primary practice location

221 E Hacienda Ave Ste E
Campbell, CA 95008-6625

Mailing address

221 E Hacienda Ave Ste E
Campbell, CA 95008-6625
Phone (408) 376-3375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040115001185 CA Practitioner - Physical Therapist in Private Practice 7810898533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

221 E Hacienda Ave
Suite a
Campbell, CA 95008-6625
Phone (408) 412-8130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT28338CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine CurrentSince Jan 3, 2023 Accepting new patients
Golden State Orthopedics & Spine Current Accepting new patients
Golden State Orthopedics & Spine CurrentSince Jan 3, 2023 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
More Physical Therapy, Inc. Physical Therapist PastSince Jan 1, 2005 Accepting new patients

Locations

221 E Hacienda Ave
Ste A
Campbell, CA 95008
Phone (408) 356-0444

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ryan.sales.p2@direct.muirortho.nextgenshare.com
  • Direct secure messaging: ryan.sales.p1@direct.orthonorcal.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1114980554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E HACIENDA AVE STE E",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086625",
            "telephone_number": "408-376-3375",
            "fax_number": "408-374-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E HACIENDA AVE STE E",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950086625",
            "telephone_number": "408-412-8130",
            "fax_number": "408-412-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALES",
        "first_name": "RYAN",
        "middle_name": "ANTHONY",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.