Kristin Zgrabik-Ryan

Individual provider Active NPI Physical Therapy Assistant · Saugus, CA

NPI 1598046989 · NPPES record last updated Aug 30, 2011

Key facts

NPI
1598046989
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
9622 (CA)
Practice address
21613 Grovepark Dr
Saugus, CA 91350-1613
Phone
(661) 297-8558
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9622CAMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: kristin.ryan.p1@direct.lakeside.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 9622 CA Yes

Addresses

Primary practice location

21613 Grovepark Dr
Saugus, CA 91350-1613

Mailing address

21613 Grovepark Dr
Saugus, CA 91350-1613

Other providers in Saugus, CA

All providers in Saugus, CA · Physical Therapy Assistant in California

Sources for this page

Verify at the official NPI Registry.