Ryan Scully Dixon, DPT
Individual provider Active NPI Physical Therapist · Tacoma, WA
NPI 1124607270 · NPPES record last updated Apr 6, 2021
Key facts
- NPI
- 1124607270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT61153443 (WA)
- Practice address
- 2405 N Pearl St Ste 18
Tacoma, WA 98406-2575 - Phone
- (253) 503-1560
- NPI assigned
- Apr 6, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hidef Seattle,LLC
Multicare Health System
Practice addresses (Care Compare)
17709 SE 272ND St
Suite C
Covington, WA 98042-4983
Phone (206) 693-9929
2405 N Pearl St
Suite 18
Tacoma, WA 98406-2575
Phone (253) 503-1560
311 S L St
Tacoma, WA 98405-3720
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210524001485 | WA | Practitioner - Physical Therapist in Private Practice | 4789083742 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT61153443 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| 520 Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Physical Therapist | Current |
Accepting new patients |
| Hidef Seattle,LLC | Current |
Accepting new patients |
Locations
13112 NE 20th St
Ste 400
Bellevue, WA 98005
Phone (253) 218-9539
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
17709 SE 272nd St
Ste C
Kent, WA 98042
Phone (206) 693-9929
2211 5th Ave
Seattle, WA 98121
Phone (206) 693-9929
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
2405 N Pearl St
Ste 18
Tacoma, WA 98406
Phone (253) 503-1560
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT61153443 | WA | Yes |
Addresses
Primary practice location
2405 N Pearl St Ste 18
Tacoma, WA 98406-2575
Mailing address
6050 Tacoma Mall Blvd Ste 200
Tacoma, WA 98409-6811
Other providers in Tacoma, WA
- Merri A Divine Steel
- Joshua Divis
- Albert Allan Dixon
- Deloria Dixon
- Lajuana Dixon
- Vera Elizabeth Dixon
- Tarah Jean Djobo
- Andrew Tran DO
- Bernard DO
- Dung My DO
All providers in Tacoma, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2021. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.