Sara Harrison Ryan

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

1 University Cir
Macomb, IL 61455-1367

Phone

(800) 701-0995

NPI assigned

Sep 27, 2024

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1124846233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6522",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605676522",
            "telephone_number": "239-450-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY CIR",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614551367",
            "telephone_number": "800-701-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SARA",
        "middle_name": "HARRISON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Alley-Hay, M.D. Woman to Woman
• Trudy Rodenberg, MS,CCC-SLP
• George Roodhouse, D.O
• Marcia Renee Roodhouse, LCPC
• Ladawna Jo Royer, APN
• Dennis Ray Samuelson, M.D.
• Michelle Deann Sargeant, CCC-SLP/L
• Gary Lee Sash, DC MS
• Lindsey Schafer
• Sonja E Schmidt, LCSW

• Developmental Therapist in Macomb, IL
• Providers in Macomb, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.