Active NPI
Ryan Anthony West, BS, PTA
- Physical Therapy Assistant
- Columbia, SC
National Provider Identifier
1679159396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 4584
- Practice address
- 1619 Sumter St
Columbia, SC 29201-2874 - Phone
- (803) 454-6090
- NPI assigned
- Mar 23, 2021
- Last updated
- Apr 5, 2021
- Sex
- Male
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 4584 | SC | Primary |
Addresses
Primary practice location
1619 Sumter St
Columbia, SC 29201-2874
Mailing address
1619 Sumter St
Columbia, SC 29201-2874
Phone (803) 454-6090
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
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LTC Therapy Solutions LLC | Past | Accepting new patients |
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": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1679159396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 SUMTER ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012874",
"telephone_number": "803-454-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1619 SUMTER ST",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012874",
"telephone_number": "803-454-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "RYAN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "BS, PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-23",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "4584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.