Individual provider Active NPI

Raymond Scott Degan, DPT

  • Physical Therapist
  • Manhattan, KS
National Provider Identifier
1689025744
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1105376 Issued in KS
Practice address
1105 Sunset Avenue
Manhattan, KS 66502-3761
Phone
(785) 532-7755
Fax
(785) 532-6627
NPI assigned
Jun 29, 2016
Last updated
Jun 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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 1105376 KS Primary

Addresses

Primary practice location

1105 Sunset Avenue
Manhattan, KS 66502-3761

Mailing address

1105 Sunset Avenue
Manhattan, KS 66502-3761
Phone (785) 532-7755

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

LicenseStateTypeSpecialty
1105376KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas State University 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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1689025744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SUNSET AVENUE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023761",
            "telephone_number": "785-532-7755",
            "fax_number": "785-532-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 SUNSET AVENUE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665023761",
            "telephone_number": "785-532-7755",
            "fax_number": "785-532-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGAN",
        "first_name": "RAYMOND",
        "middle_name": "SCOTT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1105376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.