Individual provider Active NPI

Ryan O Doyle, PT, DPT

  • Physical Therapist
  • Henderson, NV
National Provider Identifier
1740696111
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2978 Issued in NV
Practice address
2625 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-2896
Phone
(702) 896-0383
Fax
(702) 889-0383
NPI assigned
Jul 7, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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 2978 NV Primary

Addresses

Primary practice location

2625 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-2896

Mailing address

2625 W Horizon Ridge Pkwy
Suite 120
Henderson, NV 89052-2896
Phone (702) 896-0383

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181126001409 UT Practitioner - Physical Therapist in Private Practice 7810212230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy and Sports Medicine LLCGroup PAC ID 0042490278, 3 clinicians

Practice addresses (Care Compare)

2369 N 400
North Ogden, UT 84414-7232
Phone (801) 728-4624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2978NVMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Layton Physical Therapy & Sports Medicine Inc CurrentSince Dec 1, 2023 Accepting new patients
Physical Therapy and Sports Medicine LLC CurrentSince Jan 1, 2024 Accepting new patients
Springcreek Medical Center PC CurrentSince Apr 1, 2020 Accepting new patients

Locations

1868 N 1200 W
Ste A
Layton, UT 84041
Phone (801) 675-0608

2369 N 400 E
Ogden, UT 84414
Phone (801) 675-0608

267 N Spring Creek Pkwy
Providence, UT 84332
Phone (435) 792-9400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1740696111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522896",
            "telephone_number": "702-896-0383",
            "fax_number": "702-889-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 W HORIZON RIDGE PKWY",
            "address_2": "SUITE 120",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522896",
            "telephone_number": "702-896-0383",
            "fax_number": "702-889-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "RYAN",
        "middle_name": "O",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.