Individual provider Active NPI

Ryan Rausch, MPT

  • Physical Therapist
  • Gilroy, CA
National Provider Identifier
1619049822
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24560 Issued in CA
Practice address
1395 1St St Ste 100
Gilroy, CA 95020-3876
Phone
(408) 846-6000
Fax
(408) 512-2240
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 24560 CA Primary

Addresses

Primary practice location

1395 1St St Ste 100
Gilroy, CA 95020-3876

Mailing address

8021 Kern Ave
Gilroy, CA 95020-4051
Phone (408) 846-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070521000369 CA Practitioner - Physical Therapist in Private Practice 0143327486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Creek Fitness and Physical TherapyGroup PAC ID 7012994791, 38 clinicians

Practice addresses (Care Compare)

1395 1St St
Suite 100
Gilroy, CA 95020-3876
Phone (408) 846-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Creek Fitness and Physical Therapy Physical Therapist CurrentSince Feb 11, 2021 Accepting new patients

Locations

1395 1st St
Ste 100
Gilroy, CA 95020
Phone (408) 703-8582

4205 San Felipe Rd
Ste 100
San Jose, CA 95135
Phone (408) 238-1552

121 Bernal Rd
San Jose, CA 95119
Phone (408) 227-2141

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1619049822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8021 KERN AVE",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950204051",
            "telephone_number": "408-846-6000",
            "fax_number": "408-846-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 1ST ST STE 100",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "950203876",
            "telephone_number": "408-846-6000",
            "fax_number": "408-512-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "RYAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "24560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.