Active NPI
Eric Ryan McGann, DPT
- Physical Therapist
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 38370
- Practice address
- 17270 Bear Valley Rd
#E-105
Victorville, CA 92395-7751 - Phone
- (760) 955-6061
- Fax
- (760) 955-6062
- NPI assigned
- Nov 7, 2011
- Last updated
- Jan 12, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 38370 | CA | Primary |
Addresses
Primary practice location
17270 Bear Valley Rd
#E-105
Victorville, CA 92395-7751
Mailing address
3191 Mission Inn Ave
Ste B
Riverside, CA 92507-4188
Phone (951) 696-9353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0286742 | Other | WA | DEPT. OF LABOR AND INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4270 Riverwalk Pkwy
Suite 114
Riverside, CA 92505-3374
Phone (951) 684-2874
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marketplace Physical Therapy Inc, a Professional Corporation | Physical Therapist | Current | Accepting new patients |
Locations
14682 Central Ave
Chino, CA 91710
Phone (909) 217-3664
500 Orange St
Redlands, CA 92374
Phone (951) 376-3380
4270 Riverwalk Pkwy
Riverside, CA 92505
4270 Riverwalk Pkwy
Ste 114
Riverside, CA 92505
Phone (951) 324-4291
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Riverside, CA
- NPI 1285190942
Physical Therapist
-
- Physical Therapist
- Riverside, CA
- NPI 1043304942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1528345402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3191 MISSION INN AVE",
"address_2": "STE B",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925074188",
"telephone_number": "951-696-9353",
"fax_number": "951-973-7216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17270 BEAR VALLEY RD",
"address_2": "#E-105",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957751",
"telephone_number": "760-955-6061",
"fax_number": "760-955-6062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGANN",
"first_name": "ERIC",
"middle_name": "RYAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-07",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "38370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR AND INDUSTRIES",
"identifier": "0286742",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.