Individual provider Active NPI

Ryan Nicholas Cruz, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1588447320
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-33166 Issued in AZ
Practice address
6311 N 7TH St
Phoenix, AZ 85014-1551
Phone
(602) 837-0957
Fax
(602) 595-9662
NPI assigned
Aug 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 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 LPT-33166 AZ Primary

Addresses

Primary practice location

6311 N 7TH St
Phoenix, AZ 85014-1551

Mailing address

6311 N 7TH St
Phoenix, AZ 85014-1551
Phone (602) 837-0957

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

LicenseStateTypeSpecialty
LPT-33166AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Movement Redefined LLC Physical Therapist CurrentSince Apr 23, 2024 Accepting new patients

Locations

6311 N 7th St
Phoenix, AZ 85014
Phone (602) 592-0940

1219 E Glendale Ave
Ste 19
Phoenix, AZ 85020
Phone (602) 878-9662

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": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1588447320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141551",
            "telephone_number": "602-837-0957",
            "fax_number": "602-595-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 N 7TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141551",
            "telephone_number": "602-837-0957",
            "fax_number": "602-595-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "RYAN",
        "middle_name": "NICHOLAS",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-33166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.