Bruce A Ryan, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1039311 Issued in TX

Practice address

1501 N Navarro
# C
Victoria, TX 77901-6027

Phone

(361) 572-9113

Fax

(361) 572-9195

NPI assigned

Jul 5, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crossroads Physical Therapy Center

  • Physical Therapist
  • Victoria, TX
  • NPI 1376827386
  NPD (past) Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1689605172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N NAVARRO",
            "address_2": "# C",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016027",
            "telephone_number": "361-572-9113",
            "fax_number": "361-572-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N NAVARRO",
            "address_2": "# C",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016027",
            "telephone_number": "361-572-9113",
            "fax_number": "361-572-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "BRUCE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1039311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "087704501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0877045-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irene Renee Ruiz-Littles
• Dion Ruiz, DPT
• Manuel Ruiz Jr., MD
• Yvonne M Ruiz, FNP-C
• Virginia Ruschhaupt, LPC
• S&C Senior Care LLC
• Sacred Heart EMS, Inc
• Elma Saenz, LCSW, LCDC
• William Patrick Sage, M.D.
• Olivia Lea Sager, MSN, RN, CPNP

• Physical Therapist in Victoria, TX
• Providers in Victoria, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; 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.