Ryan Joseph Allen Zumwalt, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-30832 Issued in AZ

Practice address

15413 E Valleyway Ave Ste 200B
Spokane Valley, WA 99037-5029

Phone

(509) 928-3443

Fax

(509) 891-5591

NPI assigned

Sep 24, 2019

Sex

Male

Sole proprietor

No

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lighthouse Physical Therapy and Sports MedicineGroup PAC ID 9032506845, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Lighthouse Physical Therapy and Sports Medicine

  dba Lighthouse PT & Sports Medicine

  • Physical Medicine & Rehabilitation Physician
  • Greenacres, WA
  • NPI 1598364143

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Russell Mikami, P.T.

  • Specialist
  • Spokane Valley, WA
  • NPI 1225016488
  Medicare reassignment
• Ideal Rehabilitation LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1831353614
  NPD (past)
• Lighthouse Physical Therapy, LLC

  • Physical Therapist
  • Portsmouth, NH
  • NPI 1568433092
  NPD (past)

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1174174916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15413 E VALLEYWAY AVE STE 200B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990375029",
            "telephone_number": "509-928-3443",
            "fax_number": "509-891-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15413 E VALLEYWAY AVE STE 200B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990375029",
            "telephone_number": "509-928-3443",
            "fax_number": "509-891-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUMWALT",
        "first_name": "RYAN",
        "middle_name": "JOSEPH ALLEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-30832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Thomas Zografos, DC
• Thomas C Zolezzi, D.C.
• Rikson Zollinger, OD
• Ivana A Zorica, LCSW
• Jordan Taylor Zumwalt, DMD
• Kathleen Zwonitzer, RN

• Physical Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.