Active NPI
Ryan W Giebel, DPT
- Physical Therapist
- Fenton, MI
National Provider Identifier
1356645592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501016953
- Practice address
- 3240 W Silver Lake Rd
Fenton, MI 48430-1374 - Phone
- (810) 714-4616
- NPI assigned
- Jan 3, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12841 | NC | |
| Physical Therapist | 225100000X | 070.019710 | IL | |
| Physical Therapist | 225100000X | 5501016953 | MI | Primary |
Addresses
Primary practice location
3240 W Silver Lake Rd
Fenton, MI 48430-1374
Mailing address
3240 W Silver Lake Rd
Fenton, MI 48430-1374
Phone (810) 714-4616
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 |
|---|---|---|---|
| 070.019710 | IL | MD | Physical Therapist |
| 5501016953 | MI | MD | Physical Therapist |
| 12841 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657756800000",
"number": "1356645592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 W SILVER LAKE RD",
"city": "FENTON",
"state": "MI",
"postal_code": "484301374",
"telephone_number": "810-714-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 W SILVER LAKE RD",
"city": "FENTON",
"state": "MI",
"postal_code": "484301374",
"telephone_number": "810-714-4616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIEBEL",
"first_name": "RYAN",
"middle_name": "W",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-01-03",
"last_updated": "2022-07-14",
"certification_date": "2022-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "12841",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.019710",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501016953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fenton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.