Active NPI
Ryan Donaldson, PT, DPT, CSCS
- Physical Therapist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11913
- Practice address
- 18444 N 25TH Ave Ste 220
Phoenix, AZ 85023-1264 - Phone
- (866) 974-2673
- Fax
- (866) 974-2673
- NPI assigned
- Nov 18, 2015
- Last updated
- Dec 5, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 11913 | AZ | Primary |
Addresses
Primary practice location
18444 N 25TH Ave Ste 220
Phoenix, AZ 85023-1264
Mailing address
18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4375 E Indian School Rd
Suite 190
Phoenix, AZ 85018-5336
Phone (602) 789-3880
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.65 of 100
- Quality
- 76.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.95
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11913 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
Locations
6070 W Bell Rd
Ste A103
Glendale, AZ 85308
Phone (602) 782-3965
4375 E Indian School Rd
Ste 190
Phoenix, AZ 85018
Phone (602) 789-3880
6970 N Oracle Rd
Ste 130
Tucson, AZ 85704
Phone (520) 219-5825
8270 S Houghton Rd
Ste 180
Tucson, AZ 85747
Phone (520) 664-1430
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
Interoperability endpoints
- ryan.donaldson.p6@direct.athleticoltd.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670198400000",
"number": "1134593882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE STE 310",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231266",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE STE 220",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231264",
"telephone_number": "866-974-2673",
"fax_number": "866-974-2673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALDSON",
"first_name": "RYAN",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-18",
"last_updated": "2022-12-05",
"certification_date": "2022-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.