Individual provider Active NPI

Ryan Joseph Lasley, PT

  • Physical Therapist
  • Cave Creek, AZ
National Provider Identifier
1386835452
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7750 Issued in AZ
Practice address
28230 N Tatum Blvd Ste C4
Cave Creek, AZ 85331-6342
Phone
(602) 648-5444
Fax
(602) 772-3801
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7750 AZ Primary

Addresses

Primary practice location

28230 N Tatum Blvd Ste C4
Cave Creek, AZ 85331-6342

Mailing address

PO Box 80217
Phoenix, AZ 85060-0217
Phone (602) 385-2115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070920000525 AZ Practitioner - Physical Therapist in Private Practice 6204920333 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of North America PLLCGroup PAC ID 7719014505, 310 clinicians

Practice addresses (Care Compare)

28230 N Tatum Blvd
Suite C4
Cave Creek, AZ 85331-6342
Phone (602) 648-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7750AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of North America, PLLC CurrentSince Sep 15, 2021 Accepting new patients
Orthopedic Specialists of North America PLLC Physical Therapist CurrentSince Sep 15, 2021 Accepting new patients
Orthopedic Specialists of North America, PLLC Current Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Jul 25, 2007 Accepting new patients

Locations

28230 N Tatum Blvd
Ste C4
Cave Creek, AZ 85331

33300 N 32nd Ave
Ste 320
Phoenix, AZ 85085

20950 N Tatum Blvd
Ste 100
Phoenix, AZ 85050
Phone (480) 222-7246

3033 N 44th St
Ste 100
Phoenix, AZ 85018
Phone (602) 631-3161

20830 N Tatum Blvd
Ste 170
Phoenix, AZ 85050
Phone (480) 502-5510

2355 E Camelback Rd
Ste 325
Phoenix, AZ 85016
Phone (602) 772-3795

40601 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140

8405 N Pima Center Pkwy
Ste 101
Scottsdale, AZ 85258
Phone (480) 860-1322

5620 E Bell Rd
Scottsdale, AZ 85254
Phone (602) 485-3050

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

10213 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 550-9393

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1386835452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80217",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850600217",
            "telephone_number": "602-385-2115",
            "fax_number": "480-418-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28230 N TATUM BLVD STE C4",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316342",
            "telephone_number": "602-648-5444",
            "fax_number": "602-772-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASLEY",
        "first_name": "RYAN",
        "middle_name": "JOSEPH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; 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.