Active NPI
Ronald Ryan, PT
- Physical Therapist
- Scott, LA
National Provider Identifier
1609228493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 01738R
- Practice address
- 101 Park West Dr
Ste B
Scott, LA 70583-8902 - Phone
- (337) 769-1556
- Fax
- (337) 769-1557
- NPI assigned
- Jul 6, 2016
- Last updated
- Jul 6, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 01738R | LA | Primary |
Addresses
Primary practice location
101 Park West Dr
Ste B
Scott, LA 70583-8902
Mailing address
101 Park West Dr
Ste B
Scott, LA 70583-8902
Phone (337) 769-1556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01738R | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mentel Wellness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
101 Park West Dr
#B
Scott, LA 70583
Phone (337) 769-1556
113 Lions Club Rd
Scott, LA 70583
Phone (337) 769-1556
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467763200000",
"number": "1609228493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PARK WEST DR",
"address_2": "STE B",
"city": "SCOTT",
"state": "LA",
"postal_code": "705838902",
"telephone_number": "337-769-1556",
"fax_number": "337-769-1557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PARK WEST DR",
"address_2": "STE B",
"city": "SCOTT",
"state": "LA",
"postal_code": "705838902",
"telephone_number": "337-769-1556",
"fax_number": "337-769-1557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "RONALD",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-06",
"last_updated": "2016-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "01738R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scott, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.