Ryan David Landberg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10860 Issued in MN

Practice address

700 N Monroe St
Minneota, MN 56264-9237

Phone

(507) 872-5308

Fax

(605) 541-0109

NPI assigned

Jun 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera Marshall 102 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Avera Marshall

  • Critical Access Hospital
  • Marshall, MN
  • NPI 1568401016

  MN

  Medicare reassignment Care Compare group NPD
• Avera Marshall

  • Multi-Specialty Clinic/Center
  • Marshall, MN
  • NPI 1962641936
  Care Compare group NPD (past)
• Avera Marshall

  • Home Health Agency
  • Marshall, MN
  • NPI 1033535547
  Care Compare group
• Avera Marshall

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marshall, MN
  • NPI 1154856839
  Care Compare group
• Avera Marshall

  • Skilled Nursing Facility
  • Marshall, MN
  • NPI 1255329033
  Care Compare group
• Avera Marshall

  • Optometrist
  • Dawson, MN
  • NPI 1396513370
  Care Compare group
• Avera Marshall

  • Optometrist
  • Tracy, MN
  • NPI 1487958062
  Care Compare group
• Avera Marshall

  • Durable Medical Equipment & Medical Supplies
  • Marshall, MN
  • NPI 1669622031
  Care Compare group
• Avera Marshall

  • Medicare Defined Swing Bed Hospital Unit
  • Marshall, MN
  • NPI 1700070430
  Care Compare group
• Avera Marshall

  • Psychiatric Hospital Unit
  • Marshall, MN
  • NPI 1750508412
  Care Compare group
• Avera Marshall

  • Ophthalmology Physician
  • Springfield, MN
  • NPI 1922316041
  Care Compare group
• Avera Marshall

  • Optometrist
  • Canby, MN
  • NPI 1952179939
  Care Compare group

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1124549431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CROSS ST",
            "city": "BIG STONE CITY",
            "state": "SD",
            "postal_code": "572168237",
            "telephone_number": "605-541-1140",
            "fax_number": "605-541-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N MONROE ST",
            "city": "MINNEOTA",
            "state": "MN",
            "postal_code": "562649237",
            "telephone_number": "507-872-5308",
            "fax_number": "605-541-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1420 E College Dr Ste 704",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MN",
            "postal_code": "562582065",
            "country_code": "US",
            "telephone_number": "507-532-3393",
            "fax_number": "507-532-3343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDBERG",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyce J Groeneweg, RN
• Andrea Guggenbuehl
• Lisa Hennen, PT
• Paul Howard Hougan, PHYSICAL THERAPIST
• Susan R Jacobson
• Alyssa Rose Lecy, DOT
• Lentz Dental PLLC
• Living Services Foundation/Minneota, LLC
• Living Services Foundation/Minneota, LLC
• Minneota Public School

• All providers in Minneota, MN
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.