Individual provider Active NPI

Ryan Jason Stern, PTA

  • Physical Therapy Assistant
  • Tucson, AZ
National Provider Identifier
1275239162
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA-014612 Issued in AZ
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

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PTA-014612AZMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Physical Therapy & Sports Performance CurrentSince Aug 15, 2024 Accepting new patients
Evolve Wellness PastSince May 3, 2020 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.

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.

Verify at the official NPI Registry.