Ryanne Agustin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

012767 Issued in AZ

Practice address

16413 N 91St St
Scottsdale, AZ 85260-3048

Phone

(480) 849-7911

NPI assigned

Jul 8, 2020

Last updated

Jul 8, 2020By the provider in NPPES

Sex

Female

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

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1194343889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25428 N 63RD LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850831830",
            "telephone_number": "561-312-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16413 N 91ST ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603048",
            "telephone_number": "480-849-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUSTIN",
        "first_name": "RYANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "012767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agricola Health LLC
• Nicholas Aguanno, CRNA
• Emma Aguas, LMSW
• Rodolfo Antonio Aguilar, PMHNP-BC
• Serena Aguilar
• Tayler Ah Nee, DPT
• Amana Ahamad, SLP
• Ahb Private Clinical Care PLLC
• Ahc - Arizona PLLC
• Ahc Medical Supply, LLC (AHC Medical Supply)

• Physical Therapy Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.