Ryan Jacob Warinner, SPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

11730A Issued in AZ

Practice address

8400 E Florentine Rd
Prescott Valley, AZ 86314-8653

Phone

(928) 775-9999

Fax

(928) 775-9998

NPI assigned

Aug 21, 2015

Last updated

Aug 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tipton Physical Therapy, LLC

  dba Tipton Physical Therapy and Aquatic Center

  • Physical Therapist
  • Prescott Valley, AZ
  • NPI 1811954803
  NPD (past)

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1255708590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148653",
            "telephone_number": "928-775-9999",
            "fax_number": "928-775-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148653",
            "telephone_number": "928-775-9999",
            "fax_number": "928-775-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARINNER",
        "first_name": "RYAN",
        "middle_name": "JACOB",
        "credential": "SPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "11730A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPR CERTIFICATION",
            "identifier": "AZ50583",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Lee Wallett, PH.D
• Thomas E Walls
• Walmart Inc. (WalMart Pharmacy 10-3730)
• Lindsay Jean Ward, FNP-C
• Roy Ware, R.PH.
• Robert Warman, D.C
• Laura Ann Warta
• Lupita Ann Weatherwax, APRN-CNP
• Carol A Weitkunat, P.T.
• Shannon Welch, APRN

• Physical Therapy Assistant in Prescott Valley, AZ
• Providers in Prescott Valley, 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 Aug 21, 2015; 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.