Lauren Ryan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4637 Issued in AR

Practice address

11900 Kanis Rd Ste D4
Little Rock, AR 72211-3769

Phone

(501) 221-6009

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1710555032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 LOCHRIDGE RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167411",
            "telephone_number": "479-675-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 KANIS RD STE D4",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113769",
            "telephone_number": "501-221-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LAUREN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "4637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "address_1": "11900 Kanis Rd Ste D4",
            "city": "Little Rock",
            "state": "AR",
            "country_code": "US",
            "postal_code": "722113769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rickey Olvin Ryals
• Ryan a Moore DDS, PLLC
• Ryan Russ LLC (The Finding Place Counseling and Recovery)
• Ryan Wood OD PLLC (Natural State Eyecare)
• Kristin Ryan
• Sarah Ryan, OTR
• Shawnee Michelle Ryan, CF-SLP
• Ryano Transportation LLC
• Jason Dale Ryburn
• Erika Ryder, MHPP

• Physical Therapy Assistant in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.