Active NPI
Ryan Vance, PT
- Physical Therapist
- San Tan Valley, AZ
National Provider Identifier
1295965044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5392
- Practice address
- 2510 E Hunt Hwy
Suite 19
San Tan Valley, AZ 85143-5206 - Phone
- (480) 567-2231
- NPI assigned
- Jul 14, 2009
- 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 Therapist | 225100000X | 5392 | AZ | Primary |
Addresses
Primary practice location
2510 E Hunt Hwy
Suite 19
San Tan Valley, AZ 85143-5206
Mailing address
270 E Hunt Hwy
Suite 16, #238
San Tan Valley, AZ 85143-4962
Phone (480) 567-2231
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5392 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inbalance Home Health, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- San Tan Valley, AZ
- NPI 1962955708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252627200000",
"number": "1295965044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 E HUNT HWY",
"address_2": "SUITE 16, #238",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851434962",
"telephone_number": "480-567-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 E HUNT HWY",
"address_2": "SUITE 19",
"city": "SAN TAN VALLEY",
"state": "AZ",
"postal_code": "851435206",
"telephone_number": "480-567-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANCE",
"first_name": "RYAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-14",
"last_updated": "2009-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Tan Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.