Riley Quan

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4430 Missouri Ave RM 58
Fort Leonard Wood, MO 65473-9098

Phone

(573) 596-1707

NPI assigned

Sep 14, 2017

Sex

Male

Sole proprietor

Yes

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": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505347200000",
    "number": "1144749789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21726 LINDSAY LN",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655837116",
            "telephone_number": "626-848-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4430 MISSOURI AVE RM 58",
            "city": "FORT LEONARD WOOD",
            "state": "MO",
            "postal_code": "654739098",
            "telephone_number": "573-596-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAN",
        "first_name": "RILEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-14",
        "last_updated": "2017-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Leanne Prater, RN
• Connie Prewett
• Carolyn Printz, LCSW
• Nathan John Proctor, DDS
• Alyssa J Provagna, MD
• Rushell Bonita Quinn
• Becky A Ragland, LCSW
• Nerida Alexis Ramirez-Diaz, AU.D.
• Taylor N. Raube, FNP
• Joanna J. Reagan, MS, MHA, RD, LD, CDE

• Physical Therapist in Fort Leonard Wood, MO
• Providers in Fort Leonard Wood, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2017; 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.