Individual provider Active NPI

Ryan J. Taylor, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Davenport, IA
National Provider Identifier
1417299330
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DO04973 Issued in IA
Practice address
4700 E 56TH St
Davenport, IA 52807-2904
Phone
(563) 421-4370
NPI assigned
Mar 18, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X DO04973 IA Primary

Addresses

Primary practice location

4700 E 56TH St
Davenport, IA 52807-2904

Mailing address

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-1000

Other practice location 1

200 1st St SW
Rochester, MN 55905-0002
Phone (507) 284-5000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ryan.taylor@direct.genesishealth.com Direct
Direct Messaging Address ryan.taylor@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170614001486 IA Practitioner - Physical Medicine and Rehabilitation 0244462752 Reassigns benefits to 1 organization
I20171025002719 IL Practitioner - Physical Medicine and Rehabilitation 0244462752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Practice addresses (Care Compare)

2535 Maplecrest Rd
Suite 12
Bettendorf, IA 52722-2799
Phone (563) 421-3555

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

3900 28TH Ave Dr
Moline, IL 61265-5536
Phone (309) 281-6000

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO04973IAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Oct 1, 2017 Accepting new patients
Genesis Health System Physical Medicine & Rehabilitation CurrentSince Oct 1, 2019 Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Genesis Health System Past Accepting new patients
Genesis Health System PastSince Dec 6, 2022 Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

2140 53rd Ave
Bettendorf, IA 52722
Phone (563) 421-5700

2300 53rd Ave
Bettendorf, IA 52722
Phone (563) 332-4422

2535 Maplecrest Rd
Ste 12
Bettendorf, IA 52722
Phone (563) 421-3555

4700 E 56th St
Ste 300
Davenport, IA 52807
Phone (563) 421-4370

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

202 Picard St
Alpha, IL 61413
Phone (309) 629-4601

3900 28th Avenue Dr
Ste 200
Moline, IL 61265
Phone (309) 281-6000

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: ryan.taylor@direct.genesishealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1417299330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032459",
            "telephone_number": "563-421-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 E 56TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072904",
            "telephone_number": "563-421-4370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050002",
            "country_code": "US",
            "telephone_number": "507-284-5000",
            "fax_number": "507-284-3431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "RYAN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IA",
            "license": "DO04973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.taylor@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2535 Maplecrest Rd Ste 12",
            "city": "Bettendorf",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527222799",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryan.taylor@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4700 E 56th St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528072904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.