Individual provider Active NPI

Ryan P Dante, PT, DPT

  • Orthopedic Physical Therapist
  • Stephens City, VA
National Provider Identifier
1740661107
Registry record updated Jun 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2305209531 Issued in VA
Practice address
640 Warrior Dr
Suite 115
Stephens City, VA 22655-4076
Phone
(540) 868-9599
Fax
(540) 868-9699
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2305209531 VA Primary

Addresses

Primary practice location

640 Warrior Dr
Suite 115
Stephens City, VA 22655-4076

Mailing address

640 Warrior Dr
Suite 115
Stephens City, VA 22655-4076
Phone (540) 868-9599

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916001678 WV Practitioner - Physical Therapist in Private Practice 5395050694 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305209531VAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
X-Cel Performance Rehab LLC Orthopedic CurrentSince Oct 27, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433980800000",
    "number": "1740661107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 WARRIOR DR",
            "address_2": "SUITE 115",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226554076",
            "telephone_number": "540-868-9599",
            "fax_number": "540-868-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 WARRIOR DR",
            "address_2": "SUITE 115",
            "city": "STEPHENS CITY",
            "state": "VA",
            "postal_code": "226554076",
            "telephone_number": "540-868-9599",
            "fax_number": "540-868-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTE",
        "first_name": "RYAN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305209531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephens City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.