Individual provider Active NPI

Ryan Andrew O'Malley, PT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1538457205
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1191411 Issued in TX
Practice address
800 Hemphill St
Fort Worth, TX 76104-3107
Phone
(817) 338-4220
Fax
(817) 338-1639
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 1191411 TX Primary

Addresses

Primary practice location

800 Hemphill St
Fort Worth, TX 76104-3107

Mailing address

1109 8TH Ave
Fort Worth, TX 76104-4102
Phone (817) 338-4220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120911000783 TX Practitioner - Physical Therapist in Private Practice 9032367354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Texas Tech University Health Science Center School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bentz Physical Therapy, PCGroup PAC ID 9436185352, 8 clinicians

Practice addresses (Care Compare)

110 Pate Orr Rd S
Keller, TX 76248-1400
Phone (817) 337-0162

800 Hemphill St
Fort Worth, TX 76104-3107
Phone (817) 338-4220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bentz Physical Therapy, PC Physical Therapist CurrentSince May 15, 2012 Accepting new patients

Locations

1636 Western Center Blvd
Fort Worth, TX 76131

1109 8th Ave
Fort Worth, TX 76104
Phone (817) 338-4220

800 Hemphill St
Ft Worth, TX 76104
Phone (817) 335-6155

110 Pate Orr Rd S
Keller, TX 76248
Phone (817) 337-0162

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1538457205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044102",
            "telephone_number": "817-338-4220",
            "fax_number": "817-338-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HEMPHILL ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043107",
            "telephone_number": "817-338-4220",
            "fax_number": "817-338-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1191411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.