Active NPI
Ryan Paul Carrell, PT
- Rehabilitation Hospital
- Albuquerque, NM
National Provider Identifier
1750438313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- 3356
- Practice address
- 1225 Sierra Larga Dr NE
Albuquerque, NM 87112-6568 - Phone
- (505) 400-5380
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 3356 | NM | Primary |
Addresses
Primary practice location
1225 Sierra Larga Dr NE
Albuquerque, NM 87112-6568
Mailing address
1225 Sierra Larga NE
Albuquerque, NM 87112
Phone (505) 400-5380
Other names 1
- Mr. Ryan Paul Carrell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750438313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 SIERRA LARGA NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87112",
"telephone_number": "505-400-5380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 SIERRA LARGA DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871126568",
"telephone_number": "505-400-5380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRELL",
"first_name": "RYAN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "NM",
"license": "3356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RYAN",
"last_name": "CARRELL",
"middle_name": "PAUL",
"prefix": "MR.",
"credential": "PT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.