Individual provider Active NPI

Ryan Stearns, DPT

  • Physical Therapist
  • Altoona, WI
National Provider Identifier
1174841266
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11433 Issued in WI
Practice address
1200 Oakleaf Way Ste B
Altoona, WI 54720-2245
Phone
(715) 839-9266
Fax
(715) 839-8761
NPI assigned
May 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 11433 WI
Physical Therapist 225100000X 11433 WI Primary

Addresses

Primary practice location

1200 Oakleaf Way Ste B
Altoona, WI 54720-2245

Mailing address

1200 Oakleaf Way Ste B
Altoona, WI 54720-2245
Phone (715) 839-9266

Other identifiers 1

IdentifierTypeStateIssuer
11433OtherWIPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110216000307 WI Practitioner - Physical Therapist in Private Practice 2163602657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwoods Sport and Hand IncGroup PAC ID 9032399118, 28 clinicians

Practice addresses (Care Compare)

1200 Oakleaf Way
Suite B
Altoona, WI 54720-2245
Phone (715) 839-9266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11433WIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwoods Sport & Hand, Inc Physical Therapist CurrentSince Dec 20, 2010 Accepting new patients
Northwoods Sport & Hand, Inc CurrentSince Dec 20, 2010 Accepting new patients

Locations

1200 Oakleaf Way
Ste B
Altoona, WI 54720
Phone (715) 839-9266

757 Lakeland Dr
Ste A
Chippewa Fls, WI 54729
Phone (715) 723-5060

3203 Stein Blvd
Eau Claire, WI 54701
Phone (715) 834-7882

4210 Southtowne Dr
Eau Claire, WI 54701
Phone (715) 598-1829

400 W 9th St N
Ste 4
Ladysmith, WI 54848
Phone (715) 609-7550

1855 125th St
Lake Hallie, WI 54729
Phone (715) 839-9266

2919 Stout Rd
Menomonie, WI 54751
Phone (715) 235-4274

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1174841266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY STE B",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202245",
            "telephone_number": "715-839-9266",
            "fax_number": "715-839-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OAKLEAF WAY STE B",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202245",
            "telephone_number": "715-839-9266",
            "fax_number": "715-839-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEARNS",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WI",
            "license": "11433",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "11433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "11433",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.