Ryan William Niederklein, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1104115 Issued in KS

Practice address

1502 E Centennial Dr
Pittsburg, KS 66762-6718

Phone

(620) 235-0020

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cleburne Physical Therapy & Sports Rehabilitation, Inc.

  dba Cleburne Physical Therapy

  • Physical Therapist
  • Cleburne, TX
  • NPI 1205800802
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1740497528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626718",
            "telephone_number": "620-235-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 S Red River Expy",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Burkburnett",
            "state": "TX",
            "postal_code": "763543752",
            "country_code": "US",
            "telephone_number": "940-569-3630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEDERKLEIN",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1157133",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1104115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1104115",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1157133",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Verbal",
            "affiliation": "N",
            "endpointDescription": "Verbal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Verbal",
            "address_1": "1502 E Centennial Dr",
            "city": "Pittsburg",
            "state": "KS",
            "country_code": "US",
            "postal_code": "667626718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charissa Nelson, LPC
• Neurorise Institute LLC
• New Century Orthopedic & Sports Medicine LLC
• John Njau Nganga, OTR
• Lacey Nichols, APRN
• John L. Niegsch, OPTICIAN
• Lisa Niegsch
• Paul J Niegsch, O.D.
• Noble Clinic, LLC
• Debra Noble, RN

• Physical Therapist in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.