Individual provider Active NPI

Richard Ryan Barnes, DPT, ATC

  • Physical Therapist
  • Santa Monica, CA
National Provider Identifier
1699402149
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
302166 Issued in CA
Practice address
2730 Wilshire Blvd Ste 105
Santa Monica, CA 90403-4724
Phone
(310) 984-5222
NPI assigned
Aug 4, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10337 SC
Athletic Trainer 2255A2300X 511128 SC
Physical Therapist 225100000X 302166 CA Primary

Addresses

Primary practice location

2730 Wilshire Blvd Ste 105
Santa Monica, CA 90403-4724

Mailing address

2451 Purdue Ave Apt 3
Los Angeles, CA 90064-5137
Phone (440) 318-5235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220915001807 CA Practitioner - Physical Therapist in Private Practice 3971988627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sports and Orthopedic Leaders Physical Therapy IncGroup PAC ID 0446146708, 42 clinicians
Sacramento Spine and Physical Therapy IncGroup PAC ID 7416861901, 8 clinicians

Practice addresses (Care Compare)

700 Oak Ave Pkwy
Suite B
Folsom, CA 95630-6871
Phone (916) 932-1210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10337SCMDProfessional Counselor
511128SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Physical Therapy and Wellness, PC Physical Therapist CurrentSince Aug 22, 2022 Accepting new patients
Sacramento Spine & Physical Therapy Inc. CurrentSince Apr 21, 2025 Accepting new patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist CurrentSince Oct 5, 2025 Accepting new patients
Sacramento Spine & Physical Therapy Inc. Physical Therapist CurrentSince Apr 21, 2025 Accepting new patients

Locations

700 Oak Avenue Pkwy
Ste B
Folsom, CA 95630
Phone (916) 932-1210

4341 Piedmont Ave
Ste 103
Oakland, CA 94611
Phone (510) 547-1630

2730 Wilshire Blvd
Ste 105
Santa Monica, CA 90403
Phone (310) 310-2931

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1699402149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 PURDUE AVE APT 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645137",
            "telephone_number": "440-318-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 WILSHIRE BLVD STE 105",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034724",
            "telephone_number": "310-984-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "RICHARD",
        "middle_name": "RYAN",
        "credential": "DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10337",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "511128",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "302166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.