Ryan Thomas Chizek, DPT
Individual provider Active NPI Physical Therapist · Wilton, IA
NPI 1295080166 · NPPES record last updated Sep 4, 2012
Key facts
- NPI
- 1295080166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 005046 (IA)
- Practice address
- 400 Ovesen Dr
Wilton, IA 52778-9612 - Phone
- (319) 210-2491
- NPI assigned
- Jul 17, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Medical Center
Practice addresses (Care Compare)
1195 Boyson Rd
Suite 104
Hiawatha, IA 52233-2218
Phone (319) 398-6661
701 10TH St SE
Cedar Rapids, IA 52403-1251
701 10TH St SE
Cedar Rapids, IA 52403-1292
701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121130000577 | IA | Practitioner - Physical Therapist in Private Practice | 8628220472 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005046 | IA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current | Accepting new patients | |
| Taylor Physical Therapy Associates LLC | Physical Therapist | Current |
Accepting new patients |
| Mercy Medical Center | Current |
Accepting new patients | |
| Mercy Medical Center | Current |
Accepting new patients | |
| Eastern Iowa Physical Therapy, PC | Past | Accepting new patients | |
| Eastern Iowa Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Locations
2120 Edgewood Rd SW
Cedar Rapids, IA 52404
Phone (319) 398-6006
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
121 Tower St
Denver, IA 50622
Phone (319) 406-0185
1306 Highway 57
Ste B
Parkersburg, IA 50665
Phone (319) 346-9783
1014 W 1st St
Sumner, IA 50674
Phone (563) 578-5125
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005046 | IA | Yes |
Addresses
Primary practice location
400 Ovesen Dr
Wilton, IA 52778-9612
Mailing address
400 Ovesen Dr
Wilton, IA 52778-9612
Phone (319) 210-2491
Other providers in Wilton, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.