Active NPI
Deborah K Ryan, R.P.T.
- Physical Therapist
- Macon, GA
National Provider Identifier
1306286984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002416
- Practice address
- 1014 Forsyth St
Macon, GA 31201-2025 - Phone
- (478) 633-2742
- Fax
- (478) 633-6268
- NPI assigned
- Jun 27, 2013
- Sex
- Female
- 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 | PT002416 | GA | Primary |
Addresses
Primary practice location
1014 Forsyth St
Macon, GA 31201-2025
Mailing address
2490 Riverside Dr
Ste B
Macon, GA 31204
Phone (478) 633-6633
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 |
|---|---|---|---|
| PT002416 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Georiga Fertility Institute | 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.
-
- Reproductive Endocrinology Physician
- Macon, GA
- NPI 1447390901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1306286984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 RIVERSIDE DR",
"address_2": "STE B",
"city": "MACON",
"state": "GA",
"postal_code": "31204",
"telephone_number": "478-633-6633",
"fax_number": "478-633-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 FORSYTH ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012025",
"telephone_number": "478-633-2742",
"fax_number": "478-633-6268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "DEBORAH",
"middle_name": "K",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-27",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT002416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.