Individual provider Active NPI

Ryan Marc Flanary, PT

  • Physical Therapist
  • Broken Arrow, OK
National Provider Identifier
1609868405
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3136 Issued in OK
Practice address
2234 W Houston St Ste B
Broken Arrow, OK 74012-3519
Phone
(918) 259-1888
Fax
(918) 251-3725
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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 PT3136 OK Primary

Addresses

Primary practice location

2234 W Houston St Ste B
Broken Arrow, OK 74012-3519

Mailing address

1742 S 4TH St
Chickasha, OK 73018-5901
Phone (405) 825-3617

Other identifiers 1

IdentifierTypeStateIssuer
200029340AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050307000076 OK Practitioner - Physical Therapist in Private Practice 2365491701 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortho Plus LLCGroup PAC ID 1052610524, 5 clinicians

Practice addresses (Care Compare)

941 W I 35 Frontage Rd
Suite 164
Edmond, OK 73034-7375
Phone (405) 285-2994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT3136OKMDPhysical Therapist
3136OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Plus LLC CurrentSince Sep 1, 2025 Accepting new patients
Excel Therapy Specialists--Okc LLC Physical Therapist CurrentSince Nov 9, 2015 Accepting new patients
Ortho Plus, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

2419 N Commerce St
Ste B
Ardmore, OK 73401
Phone (580) 226-7587

2419 N Commerce St
Ste A
Ardmore, OK 73401
Phone (580) 630-5933

2234 W Houston St
Ste B
Broken Arrow, OK 74012
Phone (918) 259-1888

1742 S 4th St
Chickasha, OK 73018
Phone (405) 825-3617

301 Lilac Dr
Ste 140
Edmond, OK 73034
Phone (405) 906-3755

941 W I 35 Frontage Rd
Ste 164
Edmond, OK 73034
Phone (405) 285-2994

549 N Mustang Rd
Mustang, OK 73064
Phone (405) 342-0140

Interoperability endpoints

  • Direct secure messaging: ryan.flanary.1@13205.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13205/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1609868405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 S 4TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730185901",
            "telephone_number": "405-825-3617",
            "fax_number": "405-825-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 W HOUSTON ST STE B",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123519",
            "telephone_number": "918-259-1888",
            "fax_number": "918-251-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANARY",
        "first_name": "RYAN",
        "middle_name": "MARC",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT3136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200029340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.