Active NPI
Gwen Mary Van Ryen-Sink, PT/ATC
- Specialist
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6449
- Practice address
- 514 Williamson Rd
Suite 431
Mooresville, NC 28117-9225 - Phone
- (704) 360-2595
- Fax
- (704) 360-2596
- NPI assigned
- Dec 13, 2011
- Last updated
- Dec 13, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6449 | NC | Primary |
Addresses
Primary practice location
514 Williamson Rd
Suite 431
Mooresville, NC 28117-9225
Mailing address
21221 Baltic Dr
Cornelius, NC 28031-6424
Phone (704) 895-3359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
508 Williamson Rd
Suite 200
Mooresville, NC 28117-9186
Phone (704) 360-2595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6449 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| K-2 Healthcare Consulting | Current | Accepting new patients |
Locations
508 Williamson Rd
Ste 200
Mooresville, NC 28117
Phone (704) 360-2595
514 Williamson Rd
Ste 431
Mooresville, NC 28117
Phone (704) 360-2595
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Mooresville, NC
- NPI 1649568676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1235407651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21221 BALTIC DR",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280316424",
"telephone_number": "704-895-3359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 WILLIAMSON RD",
"address_2": "SUITE 431",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179225",
"telephone_number": "704-360-2595",
"fax_number": "704-360-2596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN RYEN-SINK",
"first_name": "GWEN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "PT/ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "6449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.