Active NPI
Ryan Jason Stern, PTA
- Physical Therapy Assistant
- Tucson, AZ
National Provider Identifier
1275239162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA-014612
- Practice address
- 7940 E Speedway Blvd Ste 100
Tucson, AZ 85710-1902 - Phone
- (520) 977-1516
- NPI assigned
- Feb 2, 2023
- Sex
- Male
- 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 Therapy Assistant | 225200000X | PTA-014612 | AZ | Primary |
Addresses
Primary practice location
7940 E Speedway Blvd Ste 100
Tucson, AZ 85710-1902
Mailing address
7940 E Speedway Blvd Ste 100
Tucson, AZ 85710-1902
Other practice location 1
3830 W River Rd Ste 106
Tucson, AZ 85741-3793
Phone (520) 345-7776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-014612 | AZ | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Physical Therapy & Sports Performance | Current | Accepting new patients | |
| Evolve Wellness | Past | Accepting new patients |
Locations
7940 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 977-1516
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
- Tucson, AZ
- NPI 1093013922
-
- Clinic/Center
- Tucson, AZ
- NPI 1508487604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1275239162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7940 E SPEEDWAY BLVD STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857101902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7940 E SPEEDWAY BLVD STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857101902",
"telephone_number": "520-977-1516"
}
],
"practiceLocations": [
{
"address_1": "3830 W River Rd Ste 106",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857413793",
"country_code": "US",
"telephone_number": "520-345-7776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STERN",
"first_name": "RYAN",
"middle_name": "JASON",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-02",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "PTA-014612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.