Individual provider Active NPI

Ryan Michael Marquart, PT

  • Physical Therapist
  • Waynesville, NC
National Provider Identifier
1164820106
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14913 Issued in NC
Practice address
270 N Haywood St
Waynesville, NC 28786-3748
Phone
(828) 550-3923
Fax
(828) 354-0209
NPI assigned
Dec 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P14913 NC Primary

Addresses

Primary practice location

270 N Haywood St
Waynesville, NC 28786-3748

Mailing address

90 E Main St # 1
Sylva, NC 28779-3030
Phone (828) 631-3009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, ID2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150204001078 NC Practitioner - Physical Therapist in Private Practice 1254656770 Reassigns benefits to 1 organization
I20190731001009 ID Practitioner - Physical Therapist in Private Practice 1254656770

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smoky Mountain Sports Medicine and Physical Therapy, Inc. 15 clinicians

Practice addresses (Care Compare)

270 N Haywood St
Waynesville, NC 28786-3748
Phone (828) 550-3923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P14913NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Streubel Therapy Services CurrentSince Jun 1, 2019 Accepting new patients
Smoky Mountain Sports Medicine & Physical Therapy, Inc. Physical Therapist CurrentSince Jun 5, 2023 Accepting new patients
Custom Nutrition & Wellness LLC PastSince Oct 25, 2020 Accepting new patients
Blue Mountain Chiropractic Center PastSince Jun 5, 2023 Accepting new patients

Locations

285 E Little Ave
Driggs, ID 83422
Phone (208) 354-1999

90 E Main St
#1
Sylva, NC 28779
Phone (828) 550-3923

270 N Haywood St
Waynesville, NC 28786
Phone (828) 246-9555

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.

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1164820106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST # 1",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287793030",
            "telephone_number": "828-631-3009",
            "fax_number": "828-354-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 N HAYWOOD ST",
            "city": "WAYNESVILLE",
            "state": "NC",
            "postal_code": "287863748",
            "telephone_number": "828-550-3923",
            "fax_number": "828-354-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUART",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-08",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.