Individual provider Active NPI

Ryan A Nelson, DPT

  • Physical Therapist
  • Cave Creek, AZ
National Provider Identifier
1235531260
Registry record updated Sep 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10919 Issued in AZ
Practice address
30845 N Cave Creek Rd
Ste 101
Cave Creek, AZ 85331-2915
Phone
(480) 342-9547
Fax
(480) 585-6910
NPI assigned
Sep 22, 2014
Last updated
Sep 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10919 AZ Primary

Addresses

Primary practice location

30845 N Cave Creek Rd
Ste 101
Cave Creek, AZ 85331-2915

Mailing address

8541 E Anderson Dr
Ste 100
Scottsdale, AZ 85255-5430
Phone (480) 585-6810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150402002427 AZ Practitioner - Physical Therapist in Private Practice 7416274394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thin Air Physical Therapy PLLCGroup PAC ID 5597165035, 5 clinicians

Practice addresses (Care Compare)

399 S Malpais LN
Suite 103
Flagstaff, AZ 86001-6299
Phone (423) 702-4354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thin Air Physical Therapy, PLLC. Physical Therapist CurrentSince Apr 17, 2021 Accepting new patients

Locations

399 S Malpais Ln
Ste 103
Flagstaff, AZ 86001
Phone (423) 702-4354

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.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1235531260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 E ANDERSON DR",
            "address_2": "STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555430",
            "telephone_number": "480-585-6810",
            "fax_number": "480-585-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30845 N CAVE CREEK RD",
            "address_2": "STE 101",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312915",
            "telephone_number": "480-342-9547",
            "fax_number": "480-585-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RYAN",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.