Ryan James McGovern, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT005972 Issued in PA

Practice address

105 Pucillo Drive
Millersville, PA 17551

Phone

(609) 775-7152

NPI assigned

Feb 3, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1710345996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 STONE MILL RD APT E101",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176034624",
            "telephone_number": "609-775-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PUCILLO DRIVE",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "17551",
            "telephone_number": "609-775-7152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1871 Old Main Dr",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172572200",
            "country_code": "US",
            "telephone_number": "717-477-1749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 Evergreen Dr",
            "address_purpose": "LOCATION",
            "city": "Loretto",
            "state": "PA",
            "postal_code": "159409704",
            "country_code": "US",
            "telephone_number": "814-472-2848",
            "fax_number": "814-472-2786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-03",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005972",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00219800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Nicole Lozano
• Tyjeaa Mya Lyons
• Philip Isaac Markowitz, MD
• Danielle Maureen McFadien
• Ayanda S McGill-Jefferson
• Samantha Mertz
• Kayla Mesaric
• Elizabeth Lauren Messick, PA-C
• Meagan Michelle Michael, BSW
• Darien S Miller

• Athletic Trainer in Millersville, PA
• Providers in Millersville, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.