Individual provider Active NPI

Ronald Ryan, PT

  • Physical Therapist
  • Scott, LA
National Provider Identifier
1609228493
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
01738R Issued in LA
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, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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 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

Enrollment IDStateProvider typePAC IDDetails
I20161122001224 LA Practitioner - Physical Therapist in Private Practice 0749569374 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01738RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mentel Wellness, LLC Physical Therapist CurrentSince Jun 29, 2016 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.

Verify at the official NPI Registry.