Individual provider Active NPI

Ryan Anthony Tauzell, P.T.

  • Orthopedic Physical Therapist
  • Independence, VA
National Provider Identifier
1164434007
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305203605 Issued in VA
Practice address
304 Davis St
Independence, VA 24348
Phone
(276) 773-1845
Fax
(276) 773-3912
NPI assigned
Aug 12, 2006
Last updated
May 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2305203605 VA Primary

Addresses

Primary practice location

304 Davis St
Independence, VA 24348

Mailing address

639 W Independence Blvd
Mount Airy, NC 27030-3500
Phone (336) 783-9400

Other identifiers 3

IdentifierTypeStateIssuer
267063OtherVABLUE CROSS BLUE SHIELD VA
C9495OtherVAMEDCOST
1064682OtherWVWORKERS COMPENSATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031212000755 VA Practitioner - Physical Therapist in Private Practice 8527962414 Reassigns benefits to 1 organization
I20150106002313 NC Practitioner - Physical Therapist in Private Practice 8527962414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Choice Physical Therapy and Wellness, IncGroup PAC ID 5991888950, 11 clinicians

Practice addresses (Care Compare)

2955 Market St
Suite B
Christiansburg, VA 24073-6575
Phone (540) 251-5084

847 Westlake Dr
Mount Airy, NC 27030-2157
Phone (336) 783-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blacksburg Neurology PC CurrentSince Sep 1, 2020 Accepting new patients
Choice Physical Therapy & Wellness, Inc Orthopedic CurrentSince Nov 10, 2014 Accepting new patients
Virginia Highlands Orthopaedic Spine Center LLC Past Accepting new patients

Locations

639 W Independence Blvd
Mount Airy, NC 27030
Phone (336) 783-9400

847 Westlake Dr
Mount Airy, NC 27030
Phone (336) 719-7892

2955 Market St
Ste B
Christiansburg, VA 24073
Phone (540) 251-5084

2955 Market St
Ste C4
Christiansburg, VA 24073
Phone (336) 783-9400

340 Peppers Ferry Rd
Ste C
Wytheville, VA 24382
Phone (276) 227-0200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1164434007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W INDEPENDENCE BLVD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303500",
            "telephone_number": "336-783-9400",
            "fax_number": "336-786-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 DAVIS ST",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "24348",
            "telephone_number": "276-773-1845",
            "fax_number": "276-773-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAUZELL",
        "first_name": "RYAN",
        "middle_name": "ANTHONY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305203605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD VA",
            "identifier": "267063",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "C9495",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "1064682",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.

Verify at the official NPI Registry.