Ryan Matthew Thurman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2020036292 Issued in MO

Practice address

1739 Elm Count
Suite 205/206
Jefferson City, MO 65101

Phone

(573) 681-0447

Fax

(573) 681-0445

NPI assigned

Nov 12, 2020

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Outbound Rehabilitation & Wellness LLC

  dba Outbound Physical Therapy & Rehab

  • Physical Therapist
  • Jefferson City, MO
  • NPI 1518234681
  NPD

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1699377861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 ELM COUNT",
            "address_2": "SUITE 205/206",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65101",
            "telephone_number": "573-681-0447",
            "fax_number": "573-681-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 ELM COUNT",
            "address_2": "SUITE 205/206",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65101",
            "telephone_number": "573-681-0447",
            "fax_number": "573-681-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2020036292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenyatta M. Thompson-Miller, LMSW
• Michael David Thompson, DDS, FAGD
• Reese E. Thompson, M.D.
• Lyndsey Jo Thorne, FNP-BC
• Three Rivers Hospice, Inc. (Three Rivers Hospice Central)
• Emily Amber Tichich, CF-SLP
• Elbert Stinson Tillerson, MD
• Tim Rieke DDS LLC
• Michelle Lynn Toalson, M.A., CCC-SLP
• Rachel Lynn Marie Todd, M.S., CCC-SLP

• Physical Therapy Assistant in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.