Individual provider Active NPI

Eric Ryan McGann, DPT

  • Physical Therapist
  • Victorville, CA
National Provider Identifier
1528345402
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38370 Issued in CA
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 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

IdentifierTypeStateIssuer
0286742OtherWADEPT. OF LABOR AND INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111222000298 CA Practitioner - Physical Therapist in Private Practice 6204002256 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Marketplace Physical Therapy Inc, a Professional Corporation Physical Therapist CurrentSince Jun 9, 2021 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.

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.

Verify at the official NPI Registry.