Active NPI
Ryan Michael Gay, DPT
- Physical Therapist
- Fairmont, WV
National Provider Identifier
1639368657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 002666
- Practice address
- 1539 Country Club Rd
Wishing Well Health Center
Fairmont, WV 26554 - Phone
- (304) 363-8479
- NPI assigned
- Oct 16, 2007
- 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 | PT 002666 | WV | Primary |
Addresses
Primary practice location
1539 Country Club Rd
Wishing Well Health Center
Fairmont, WV 26554
Mailing address
1539 Country Club Rd
Wishing Well Health Center
Fairmont, WV 26554
Phone (304) 363-8479
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 002666 | WV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1639368657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1539 COUNTRY CLUB RD",
"address_2": "WISHING WELL HEALTH CENTER",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-363-8479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1539 COUNTRY CLUB RD",
"address_2": "WISHING WELL HEALTH CENTER",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "26554",
"telephone_number": "304-363-8479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAY",
"first_name": "RYAN",
"middle_name": "MICHAEL",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-16",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT 002666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.