Active NPI
Ryan Patrick Kane, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1548840432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023949
- Practice address
- 5545 W Montrose Ave
Chicago, IL 60641-1331 - Phone
- (773) 282-6648
- NPI assigned
- Apr 13, 2021
- 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 | 070023949 | IL | Primary |
Addresses
Primary practice location
5545 W Montrose Ave
Chicago, IL 60641-1331
Mailing address
5132 Diane CT
Rockford, IL 61108-2374
Phone (872) 205-6790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070023949 | IL | MD | Physical Therapist |
Interoperability endpoints
- ryan.kane.1@14940.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1548840432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5132 DIANE CT",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611082374",
"telephone_number": "872-205-6790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5545 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606411331",
"telephone_number": "773-282-6648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "RYAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-13",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.