Active NPI
Ryan P Jones, P. T.
- Physical Therapist
- Morton, IL
National Provider Identifier
1760533954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070012396
- Practice address
- 1909 N Morton Ave
Morton, IL 61550-1426 - Phone
- (309) 266-5488
- Fax
- (309) 266-9144
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070012396 | IL | Primary |
Addresses
Primary practice location
1909 N Morton Ave
Morton, IL 61550-1426
Mailing address
1909 N Morton Ave
Morton, IL 61550-1426
Phone (309) 266-5488
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33466443 | Other | IL | TRICARE PROVIDER NUM |
| 0039040224 | Other | IL | IL BLUE CROSS BLUE SHIELD |
| 11581829 | Other | CAQH PROVIDER ID | |
| P00205269 | Other | IL | RAILROAD MEDICARE PIN NUM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070012396 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1760533954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1909 N MORTON AVE",
"city": "MORTON",
"state": "IL",
"postal_code": "615501426",
"telephone_number": "309-266-5488",
"fax_number": "309-266-9144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1909 N MORTON AVE",
"city": "MORTON",
"state": "IL",
"postal_code": "615501426",
"telephone_number": "309-266-5488",
"fax_number": "309-266-9144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "RYAN",
"middle_name": "P",
"credential": "P. T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070012396",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER NUM",
"identifier": "33466443",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL BLUE CROSS BLUE SHIELD",
"identifier": "0039040224",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH PROVIDER ID",
"identifier": "11581829",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN NUM",
"identifier": "P00205269",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.