Ryan Peters I

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 8176 Issued in OH

Practice address

1301 Center St
Bryan, OH 43506-9125

Phone

(419) 636-9039

NPI assigned

Feb 6, 2014

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

Other names 1

• Mr. Ryan Peters Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1174947576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 COUNTY ROAD 15",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435069763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CENTER ST",
            "city": "BRYAN",
            "state": "OH",
            "postal_code": "435069125",
            "telephone_number": "419-636-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "RYAN",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 8176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYAN",
            "last_name": "PETERS",
            "prefix": "MR.",
            "credential": "M.A.-CCC/SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Cathleen Pelland
• Peopleworks Developers of Human Resources, LLC
• Peters Family Eyecare Associates
• Diane Peters, PSY.D.
• Randy L Peters, O.D.
• Darisa Phillips, COTA/L
• Mark E Phillips, D.D.S.
• Larry Michael Pickett, CRNA
• Tiffany Rae Poletta, COTA/L
• Brianna Rae Pool, A-GNP

• Speech-Language Pathologist in Bryan, OH
• Providers in Bryan, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.