Ryan Aaron Anderson, PT
Individual provider Active NPI Physical Therapist · Marion, OH
NPI 1740486554 · NPPES record last updated Oct 28, 2009
Key facts
- NPI
- 1740486554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 011787 (OH)
- Practice address
- 1050 Delaware Ave
Marion, OH 43302-6416 - Phone
- (740) 383-8056
- NPI assigned
- Jun 27, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011787 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marion General Hospital, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 011787 | OH | Yes |
Addresses
Primary practice location
1050 Delaware Ave
Marion, OH 43302-6416
Mailing address
1050 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-8056
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108341 | Medicaid | OH |
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2009. 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.