Individual provider Active NPI

Ryan Alexis Ware

  • Physical Therapist
  • Spanaway, WA
National Provider Identifier
1760033682
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT61480474 Issued in WA
Practice address
19321 Mountain Hwy E # 100
Spanaway, WA 98387-8450
Phone
(253) 846-8918
Fax
(253) 846-8126
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physical Therapist 225100000X PT61480474 WA Primary

Addresses

Primary practice location

19321 Mountain Hwy E # 100
Spanaway, WA 98387-8450

Mailing address

19321 Mountain Hwy E # 100
Spanaway, WA 98387-8450
Phone (253) 846-8918

Other practice location 1

504 University Blvd
Tuscaloosa, AL 35401
Phone (678) 850-1209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NM, CO3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240305000971 WY Practitioner - Physical Therapist in Private Practice 0143674028 Reassigns benefits to 2 organizations
I20250127000069 NM Practitioner - Physical Therapist in Private Practice 0143674028 Reassigns benefits to 1 organization
I20250507000351 CO Practitioner - Physical Therapist in Private Practice 0143674028 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bear Lodge Rehabilitation Services, LLC Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients
Southern Colorado Health & Rehab CurrentSince May 19, 2025 Accepting new patients
Southern Colorado Health & Rehab Physical Therapist CurrentSince May 19, 2025 Accepting new patients
Espanola Sports Medicine, PA Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Big Country Rehabilitation,LLC Physical Therapist CurrentSince Feb 12, 2024 Accepting new patients
Memorial Hospital of Converse County PastSince Feb 12, 2024 Accepting new patients
Northplatte Physical Therpy Services Inc Physical Therapist PastSince Feb 12, 2024 Accepting new patients

Locations

1275 W Pueblo Blvd
Pueblo, CO 81004
Phone (719) 542-0589

708 La Joya St
Espanola, NM 87532
Phone (505) 753-6550

111 S 5th St
Douglas, WY 82633
Phone (307) 358-6200

Organizations & group practices 7

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1760033682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19321 MOUNTAIN HWY E # 100",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878450",
            "telephone_number": "253-846-8918",
            "fax_number": "253-846-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19321 MOUNTAIN HWY E # 100",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983878450",
            "telephone_number": "253-846-8918",
            "fax_number": "253-846-8126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "35401",
            "country_code": "US",
            "telephone_number": "678-850-1209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARE",
        "first_name": "RYAN",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61480474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spanaway, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.