Ryan Despain, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

299381 Issued in CA

Practice address

3908 10TH St
Riverside, CA 92501-3522

Phone

(951) 274-7744

NPI assigned

Nov 5, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prorehab LouisvilleGroup PAC ID 4587981337, 71 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Prorehab Louisville

  • Physical Therapist
  • Crestwood, KY
  • NPI 1982473880
  Medicare reassignment Care Compare group NPD
• Prorehab Louisville

  • Physical Therapy Clinic/Center
  • Louisville, KY
  • NPI 1700282589

  Physical Therapist

  NPD
• Prorehab Louisville, LLC

  • Physical Therapy Clinic/Center
  • Scottsburg, IN
  • NPI 1053161349

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1346841335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 10TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013522",
            "telephone_number": "951-274-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 10TH ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013522",
            "telephone_number": "951-274-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPAIN",
        "first_name": "RYAN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mukund Deshmukh, MD
• Errajith Bertrand Ricardo Desilva, M.D.
• Desire Home Care, Inc
• Sofia Desirello
• Jessica Paige Desmond
• Trevyn Lloyd Despain, RPT
• Raegan Desrosiers, RN
• Rochelle Destacamento, CAAR.CG.60712826
• Devadas Moses
• Kristopher Devasher

• Physical Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.