Active NPI
Ryan Basescu, D.P.T.
- Physical Therapist
- Sumter, SC
National Provider Identifier
1760875900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26535
- Practice address
- 1215 Alice Dr
Sumter, SC 29150-1905 - Phone
- (803) 774-5201
- NPI assigned
- Mar 12, 2015
- Last updated
- Nov 15, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7544 | SC | |
| Physical Therapist | 225100000X | 26535 | MD | Primary |
Addresses
Primary practice location
1215 Alice Dr
Sumter, SC 29150-1905
Mailing address
110 Filbert St
Uniontown, PA 15401-7304
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 |
|---|---|---|---|
| 26535 | MD | MD | Social Worker |
| 7544 | SC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1760875900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 FILBERT ST",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154017304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 ALICE DR",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501905",
"telephone_number": "803-774-5201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASESCU",
"first_name": "RYAN",
"name_prefix": "Mr.",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-12",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7544",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "26535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.