Active NPI
Ryan Health, Inc
- Chiropractor
- Rockford, IL
National Provider Identifier
1366102469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- RYAN HEALTH, INC
- Doing business as
- Redefine Wellness of Rockford
- Practice address
- 6080 Elaine Dr. Suite a
Rockford, IL 61108 - Phone
- (815) 398-0880
- Fax
- (815) 398-9466
- NPI assigned
- Dec 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ashley Ryan, DC
- Title
- President
- Phone
- (815) 398-0880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
6080 Elaine Dr. Suite a
Rockford, IL 61108
Mailing address
6080 Elaine Dr. Suite a
Rockford, IL 61108
Phone (815) 398-0880
Other names 1
- Redefine Wellness of Rockford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6080 Elaine Dr
Ste A
Rockford, IL 61108
Phone (815) 398-0880
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FICGAA
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Rockford, IL
- NPI 1578575825
-
- Chiropractor
- Crystal Lake, IL
- NPI 1609206648
-
- Chiropractor
- Rockford, IL
- NPI 1316052400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659052800000",
"number": "1366102469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6080 ELAINE DR. SUITE A",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61108",
"telephone_number": "815-398-0880",
"fax_number": "815-398-9466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 ELAINE DR. SUITE A",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61108",
"telephone_number": "815-398-0880",
"fax_number": "815-398-9466"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYAN HEALTH, INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-30",
"last_updated": "2022-07-29",
"certification_date": "2022-07-29",
"status": "A",
"authorized_official_last_name": "RYAN",
"authorized_official_first_name": "ASHLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-398-0880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Redefine Wellness of Rockford",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.