Ryan McCrery

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5898 Issued in ID

Practice address

1100 A Street
Plummer, ID 83851

Phone

(208) 686-7041

NPI assigned

Feb 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Coeur D'Alene Tribe Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Plummer, ID
  • NPI 1730104225
  NPD (past)

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1750846978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 A STREET",
            "city": "PLUMMER",
            "state": "ID",
            "postal_code": "83851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 A STREET",
            "city": "PLUMMER",
            "state": "ID",
            "postal_code": "83851",
            "telephone_number": "208-686-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRERY",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ID",
            "license": "5898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tucker Lloyd Larsen, PA-C
• Kimberley Dawn Legaspi, RDH
• Jamie Loftis
• Kristi Mathistad, CADC
• Jeannie Marie Mattox, PTA
• Connie Gene Miller, LMSW CADC
• Janet L Miller
• Nikole J Mills, APNP, PMHNP-BC
• Michelle Kay Moore, LPC
• Connie Michelle Nelson, RN

• Physical Therapy Assistant in Plummer, ID
• Providers in Plummer, ID by specialty
• Physical Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.