Ryan Andrew Basco

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-1479 Issued in NV

Practice address

10018 Princess Cut St
Las Vegas, NV 89183-6283

Phone

(310) 925-9950

NPI assigned

Dec 22, 2022

Last updated

Dec 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1659083590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10018 PRINCESS CUT ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836283",
            "telephone_number": "310-925-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10018 PRINCESS CUT ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836283",
            "telephone_number": "310-925-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASCO",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A-1479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Basahebim
• Charalee K Basaldua, M.D.
• Arsen Basambekyan
• Randa Amin Bascharon, DO
• Nancy Basco
• Simone Bascoe
• Jordan Bascom
• Julie Bascones, APRN, CPNP
• Baseline Nutrition & Wellness, LLC
• Myrna Basham

• Physical Therapy Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.