NPIMap

Organization Active NPI

Ryan Ranch Physical Therapy, Inc

Doing business as Ryan Ranch Physical Therapy Of Monterey

  • Specialist
  • Monterey, CA
National Provider Identifier
1699792374
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
101360 Issued in CA
Legal business name
RYAN RANCH PHYSICAL THERAPY, INC
Doing business as
Ryan Ranch Physical Therapy Of Monterey
Practice address
550 Camino El Estero
Ste 100
Monterey, CA 93940-3231
Phone
(831) 372-2963
Fax
(831) 656-9179
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Mr. Wilfried John Kramer Jr., PTNPI 1982767505
Title
Physical Therapist,Owner of Busines
Phone
(831) 372-2963

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 101360 CA Primary

Addresses

Primary practice location

550 Camino El Estero
Ste 100
Monterey, CA 93940-3231

Mailing address

550 Camino El Estero
Ste 100
Monterey, CA 93940-3231
Phone (831) 372-2963

Other identifiers 2

IdentifierTypeStateIssuer
1083777627OtherCATRICARE WPS PROVIDER NUMBER
ZZZ09962ZOtherCABLUE SHILED PIN

Other names 1

  • Ryan Ranch Physical Therapy Of Monterey Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050517000467 CA Part B Supplier - Clinic/Group Practice 7911948328 Receives reassigned benefits from 4 practitioners
Practice locations: Monterey, CA

National Provider Directory

National Provider Directory

Locations

991 Cass St
Monterey, CA 93940
Phone (831) 375-2225

550 Camino El Estero
Ste 100
Monterey, CA 93940
Phone (831) 342-2963

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1699792374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 CAMINO EL ESTERO",
            "address_2": "STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403231",
            "telephone_number": "831-372-2963",
            "fax_number": "831-656-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CAMINO EL ESTERO",
            "address_2": "STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403231",
            "telephone_number": "831-372-2963",
            "fax_number": "831-656-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN RANCH PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "WILFRIED",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST,OWNER OF BUSINES",
        "authorized_official_telephone_number": "831-372-2963",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "101360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE WPS PROVIDER NUMBER",
            "identifier": "1083777627",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHILED PIN",
            "identifier": "ZZZ09962Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ryan Ranch Physical Therapy Of Monterey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monterey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.