Ron Giles, DPT
Individual provider Active NPI Physical Therapist · Whiteman Afb, MO
NPI 1720570997 · NPPES record last updated Aug 9, 2022
Key facts
- NPI
- 1720570997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-5665 (ID)
- Practice address
- 331 Sijan Ave
Whiteman Afb, MO 65305 - Phone
- (660) 687-3933
- NPI assigned
- Jun 4, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-5665 | ID | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-5665 | ID | Yes |
Addresses
Primary practice location
331 Sijan Ave
Whiteman Afb, MO 65305
Mailing address
720 Marshall Cir
Whiteman Afb, MO 65305-1198
Phone (360) 477-3641
Other providers in Whiteman Afb, MO
- Sean Kevin Fitzpatrick
- Stephanie Ann Forsythe
- James Pearce Fowler
- Margaret Joan Garner
- Kelsey Geiger
- Collin Griffith
- Colin Matthew Hart
- Haidee Hasty
- Sallie Nonette Henderson
- Luis Hernandez
All providers in Whiteman Afb, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.