Individual provider Active NPI

Ryan Jay Estus, DPT

  • Physical Therapist
  • Ammon, ID
National Provider Identifier
1730706581
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6833 Issued in ID
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20200727003287 ID Practitioner - Physical Therapist in Private Practice 4789008483 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince May 20, 2021 Accepting new patients
Wright Physical Therapy Limited Partnership Physical Therapist CurrentSince May 20, 2021 Accepting new patients
Idaho Sport Massage LLC CurrentSince Jul 21, 2024 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.

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.

Verify at the official NPI Registry.