Ryan Flick

Individual provider Active NPI Physical Therapist · Freeport, PA

NPI 1669929097 · NPPES record last updated Sep 1, 2016

Key facts

NPI
1669929097
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT025454 (PA)
Practice address
209 1St St
Freeport, PA 16229-1005
Phone
(724) 294-0271
NPI assigned
Sep 1, 2016
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT025454PAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT025454 PA Yes

Addresses

Primary practice location

209 1St St
Freeport, PA 16229-1005

Mailing address

209 1St St
Freeport, PA 16229-1005
Phone (724) 294-0271

Other providers in Freeport, PA

All providers in Freeport, PA · Physical Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.