Individual provider Active NPI

Ryan James Christiansen, P.T.

  • Physical Therapist
  • Burbank, CA
National Provider Identifier
1760716690
Registry record updated Sep 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 25258 Issued in CA
Practice address
540 E Palm Ave
Apt. M
Burbank, CA 91501-2067
Phone
(818) 321-3164
NPI assigned
Sep 24, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2009

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 PT 25258 CA Primary

Addresses

Primary practice location

540 E Palm Ave
Apt. M
Burbank, CA 91501-2067

Mailing address

540 East Palm Ave.
Apt. M
Burbank, CA 91501
Phone (818) 321-3164

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

LicenseStateTypeSpecialty
PT 25258CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Care First Physical Therapy Rehab Inc PastSince Dec 1, 2015 Accepting new patients
West Wellness Physical Therapy & Rehab Inc Past Accepting new patients

Organizations & group practices 2

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": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1760716690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 EAST PALM AVE.",
            "address_2": "APT. M",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91501",
            "telephone_number": "818-321-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E PALM AVE",
            "address_2": "APT. M",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012067",
            "telephone_number": "818-321-3164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIANSEN",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 25258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.