Active NPI
Brigitta Ryan, PT DPT
- Physical Therapist
- Queen Creek, AZ
National Provider Identifier
1235718560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-31679
- Practice address
- 21321 East Ocotillo Rd
Suite I122
Queen Creek, AZ 85142 - Phone
- (480) 309-3660
- NPI assigned
- Apr 5, 2021
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | LPT-31679 | AZ | Primary |
Addresses
Primary practice location
21321 East Ocotillo Rd
Suite I122
Queen Creek, AZ 85142
Mailing address
1994 W Tobias Way
Queen Creek, AZ 85144-4513
Phone (480) 309-3660
Other names 1
- Ms. Brigitta Mannino
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21321 E Ocotillo Rd
Suite I122
Queen Creek, AZ 85142-7591
Phone (480) 987-1870
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPT-31679 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Above & Beyond Therapy Services LLC | Physical Therapist | Current | Accepting new patients |
| Above & Beyond Therapy Services | Current | Accepting new patients |
Locations
3201 W Peoria Ave
Ste D800
Phoenix, AZ 85029
Phone (602) 866-2231
21321 E Ocotillo Rd
Ste I122
Queen Creek, AZ 85142
Phone (480) 309-3660
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Phoenix, AZ
- NPI 1124011812
Physical Therapist
-
- Specialist
- Queen Creek, AZ
- NPI 1215252655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1235718560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1994 W TOBIAS WAY",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851444513",
"telephone_number": "480-309-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21321 EAST OCOTILLO RD",
"address_2": "SUITE I122",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "85142",
"telephone_number": "480-309-3660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "BRIGITTA",
"credential": "PT DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-05",
"last_updated": "2024-01-08",
"certification_date": "2024-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-31679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIGITTA",
"last_name": "MANNINO",
"prefix": "MS.",
"credential": "PT DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.