Individual provider Active NPI

Ryan Cordell

  • Physical Therapist
  • Lancaster, PA
National Provider Identifier
1457701971
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT024991 Issued in PA
Practice address
1042 New Holland Ave
Lancaster, PA 17601-5606
Phone
(844) 342-1752
NPI assigned
Jun 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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 PT024991 PA Primary

Addresses

Primary practice location

1042 New Holland Ave
Lancaster, PA 17601-5606

Mailing address

1042 New Holland Ave
Lancaster, PA 17601-5606
Phone (844) 342-1752

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725000492 PA Practitioner - Physical Therapist in Private Practice 3476800236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Mennonite HomeGroup PAC ID 9830264696, 5 clinicians

Practice addresses (Care Compare)

2001 Harrisburg Pike
Lancaster, PA 17601-2603
Phone (717) 393-1301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT024991PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Mennonite Home CurrentSince Jun 2, 2025 Accepting new patients
PHS Physical Therapy, LLC Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
PHS Physical Therapy, LLC CurrentSince Aug 28, 2023 Accepting new patients
Procare Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

1520 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 393-1301

1160 Manheim Pike
Lancaster, PA 17601
Phone (717) 397-7505

1535 Highlands Dr
Ste 200
Lititz, PA 17543
Phone (717) 625-5731

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1457701971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 NEW HOLLAND AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015606",
            "telephone_number": "844-342-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 NEW HOLLAND AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176015606",
            "telephone_number": "844-342-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDELL",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.