Ryan Spano, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

08184 Issued in LA

Practice address

1290 Front St Ste 1B
Slidell, LA 70458-2000

Phone

(985) 326-7260

Fax

(985) 326-7261

NPI assigned

May 7, 2013

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

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spano PT LLCGroup PAC ID 0042579633, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Spano PT LLC

  • Physical Therapist
  • Slidell, LA
  • NPI 1376077057
  Medicare reassignment Care Compare group Authorized official
• Dynamic Physical Therapy Services LLC

  • Orthopedic Physical Therapist
  • Covington, LA
  • NPI 1639267974
  Medicare reassignment NPD
• Dynamic Physical Therapy Services PC

  • Physical Therapist
  • Flushing, NY
  • NPI 1497717375
  NPD (past)

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1235574096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 FRONT ST STE 1B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582000",
            "telephone_number": "985-326-7260",
            "fax_number": "985-326-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 FRONT ST STE 1B",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582000",
            "telephone_number": "985-326-7260",
            "fax_number": "985-326-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANO",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-07",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Physician Network LLC
• Southern Rehabilitation Center
• Southern Urgent Care, LLC
• Southwest Wellness LLC
• Spano PT LLC
• Jamie Sparks
• Amna Husain Spears, LCSW-BACS
• Spectrum Kidney Care LLC
• Linda S Spence, LOTR
• Spine and Sport of Slidell, LLC

• Physical Therapist in Slidell, LA
• Providers in Slidell, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.