Individual provider Active NPI

Ryan John Purfeerst, MPT

  • Physical Therapist
  • River Falls, WI
National Provider Identifier
1497011688
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9703-10 Issued in WI
Practice address
215 S 2ND St Ste 10
River Falls, WI 54022-2403
Phone
(715) 426-7878
Fax
(715) 426-7852
NPI assigned
Apr 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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 9703-10 WI Primary

Addresses

Primary practice location

215 S 2ND St Ste 10
River Falls, WI 54022-2403

Mailing address

1663 E Division St
River Falls, WI 54022-1571
Phone (715) 426-6000

Other practice location 1

1663 E Division St
River Falls, WI 54022-1571
Phone (715) 426-6000

Other identifiers 1

IdentifierTypeStateIssuer
1497011688MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131015000261 WI Practitioner - Physical Therapist in Private Practice 1759515323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Valley Physical Therapy IncGroup PAC ID 5092604884, 4 clinicians

Practice addresses (Care Compare)

215 S 2ND St
Suite 10
River Falls, WI 54022-2403
Phone (715) 426-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9703-10WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Physical Therapy, Inc Physical Therapist CurrentSince Jun 4, 2013 Accepting new patients

Locations

215 S 2nd St
Ste 10
River Falls, WI 54022
Phone (715) 426-7878

Organizations & group practices 1

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1497011688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 E DIVISION ST",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540221571",
            "telephone_number": "715-426-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S 2ND ST STE 10",
            "city": "RIVER FALLS",
            "state": "WI",
            "postal_code": "540222403",
            "telephone_number": "715-426-7878",
            "fax_number": "715-426-7852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1663 E Division St",
            "address_purpose": "LOCATION",
            "city": "River Falls",
            "state": "WI",
            "postal_code": "540221571",
            "country_code": "US",
            "telephone_number": "715-426-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PURFEERST",
        "first_name": "RYAN",
        "middle_name": "JOHN",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9703-10",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497011688",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Falls, WI

Sources for this page

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