Individual provider Active NPI

Ryan J Brewer, PT, DPT

  • Physical Therapist
  • Rio Rancho, NM
National Provider Identifier
1558053157
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2023-2145 Issued in NM
Practice address
2401 Cabezon Blvd SE Ste 102
Rio Rancho, NM 87124-1513
Phone
(505) 994-2599
NPI assigned
May 22, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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 PT-2023-2145 NM Primary

Addresses

Primary practice location

2401 Cabezon Blvd SE Ste 102
Rio Rancho, NM 87124-1513

Mailing address

1801 Gibson Blvd SE Apt 2038
Albuquerque, NM 87106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230627003491 NM Practitioner - Physical Therapist in Private Practice 6305204025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Armada Physical Therapy of Albuquerque LLCGroup PAC ID 9830328954, 22 clinicians

Practice addresses (Care Compare)

2401 Cabezon Blvd SE
Suite 102
Rio Rancho, NM 87124-1513
Phone (505) 994-2599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Armada Physical Therapy of Albuquerque LLC CurrentSince Jun 5, 2023 Accepting new patients

Locations

6400 Jefferson St NE
Ste 102
Albuquerque, NM 87109
Phone (505) 344-2922

8616 Menaul Blvd NE
Ste A
Albuquerque, NM 87112
Phone (505) 292-4784

1400 Main St NW
Ste 12
Los Lunas, NM 87031
Phone (505) 865-4368

2401 Cabezon Blvd SE
Ste 102
Rio Rancho, NM 87124
Phone (505) 994-2599

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": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1558053157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GIBSON BLVD SE APT 2038",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 CABEZON BLVD SE STE 102",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241513",
            "telephone_number": "505-994-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "RYAN",
        "middle_name": "J",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2023-2145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.