Active NPI
Ryan Jay Estus, DPT
- Physical Therapist
- Ammon, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6833
- Practice address
- 1615 Curlew Dr
Ammon, ID 83406-4718 - Phone
- (208) 516-1204
- Fax
- (208) 577-6477
- NPI assigned
- Jun 28, 2020
- Last updated
- May 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6833 | ID | Primary |
Addresses
Primary practice location
1615 Curlew Dr
Ammon, ID 83406-4718
Mailing address
246 N Curlew Dr Apt 11307
Ammon, ID 83401-1458
Phone (405) 742-7830
Other practice location 1
675 Yellowstone Ave # 1
Pocatello, ID 83201-4511
Phone (208) 478-1488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1615 Curlew Dr
Ammon, ID 83406-4718
Phone (208) 516-1204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wright Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Wright Physical Therapy Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Idaho Sport Massage LLC | Current | Accepting new patients |
Locations
1615 Curlew Dr
Ammon, ID 83406
Phone (208) 516-1204
931 Center St W
#C
Kimberly, ID 83341
Phone (208) 423-9999
675 Yellowstone Ave
#1
Pocatello, ID 83201
Phone (208) 478-1488
1411 Falls Ave E
Ste 401
Twin Falls, ID 83301
Phone (208) 969-9945
1444 Falls Ave E
Twin Falls, ID 83301
Phone (208) 736-2574
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Twin Falls, ID
- NPI 1730732025
-
- Physical Therapist
- Logan, UT
- NPI 1770317455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1730706581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 N CURLEW DR APT 11307",
"city": "AMMON",
"state": "ID",
"postal_code": "834011458",
"telephone_number": "405-742-7830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 CURLEW DR",
"city": "AMMON",
"state": "ID",
"postal_code": "834064718",
"telephone_number": "208-516-1204",
"fax_number": "208-577-6477"
}
],
"practiceLocations": [
{
"address_1": "675 Yellowstone Ave # 1",
"address_purpose": "LOCATION",
"city": "Pocatello",
"state": "ID",
"postal_code": "832014511",
"country_code": "US",
"telephone_number": "208-478-1488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTUS",
"first_name": "RYAN",
"middle_name": "JAY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-28",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ID",
"license": "6833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ammon, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.