Individual provider Active NPI

Rylee Elizabeth Hammons, PTA

  • Physical Therapy Assistant
  • Neosho, MO
National Provider Identifier
1598230047
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2018033788 Issued in MO
Practice address
418 Fairground Rd
Neosho, MO 64850-1626
Phone
(417) 451-8600
NPI assigned
Oct 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2018033788 MO Primary

Addresses

Primary practice location

418 Fairground Rd
Neosho, MO 64850-1626

Mailing address

815 W Berry St Apt 2
Fayetteville, AR 72701-3354
Phone (918) 541-5754

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2018033788MOMDPhysical Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1598230047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W BERRY ST APT 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013354",
            "telephone_number": "918-541-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 FAIRGROUND RD",
            "city": "NEOSHO",
            "state": "MO",
            "postal_code": "648501626",
            "telephone_number": "417-451-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONS",
        "first_name": "RYLEE",
        "middle_name": "ELIZABETH",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2018033788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neosho, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.