Active NPI
Ryan Hadley Wood, D.P.T.
- Physical Therapist
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05011575A
- Practice address
- 101 NW 1St St
114
Evansville, IN 47708-1259 - Phone
- (812) 402-0444
- Fax
- (812) 402-0449
- NPI assigned
- Jul 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05011575A | IN | Primary |
Addresses
Primary practice location
101 NW 1St St
114
Evansville, IN 47708-1259
Mailing address
PO Box 3276
Evansville, IN 47731-3276
Phone (812) 473-0181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05011575A | Other | IN | PHYSICAL THERAPY LICENSE |
| 006466 | Other | KY | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 NW 1St St
Suite 114
Evansville, IN 47708-1259
Phone (812) 402-0444
201 SE 4TH St
Suite 150
Evansville, IN 47713-1201
Phone (812) 461-6716
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05011575A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forefront Community Therapy Inc | Physical Therapist | Current | Accepting new patients |
| St. Mary'S Health, Inc | Current | Accepting new patients | |
| St. Mary'S Health, Inc | Physical Therapist | Current | Accepting new patients |
Locations
5927 Reliable Pkwy
Chicago, IL 60686
225 Crosslake Dr
Evansville, IN 47715
Phone (812) 471-6677
3900 Washington Ave
#100
Evansville, IN 47714
Phone (317) 871-0000
3900 Washington Ave
#100A
Evansville, IN 47714
Phone (812) 485-7240
201 SE 4th St
#150
Evansville, IN 47713
Phone (812) 461-6716
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
101 NW 1st St
Ste 114
Evansville, IN 47708
Phone (812) 402-0444
Organizations & group practices 4
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.
-
- Physical Therapist
- Evansville, IN
- NPI 1821688607
-
- Physical Therapist
- Evansville, IN
- NPI 1295198299
-
- Hematology & Oncology Physician
- Newburgh, IN
- NPI 1952101214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1134417249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3276",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477313276",
"telephone_number": "812-473-0181",
"fax_number": "812-473-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NW 1ST ST",
"address_2": "114",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081259",
"telephone_number": "812-402-0444",
"fax_number": "812-402-0449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "RYAN",
"middle_name": "HADLEY",
"name_prefix": "Mr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-11",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011575A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "05011575A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "006466",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.