Individual provider Active NPI

Ryan Keaton

  • Physical Therapist
  • Truckee, CA
National Provider Identifier
1780246710
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308238 Issued in CA
Practice address
11253 Brockway Rd Ste 102
Truckee, CA 96161-3358
Phone
(530) 214-7029
NPI assigned
Jun 29, 2019
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 308238 CA Primary

Addresses

Primary practice location

11253 Brockway Rd Ste 102
Truckee, CA 96161-3358

Mailing address

1550 Wyoming CT
Reno, NV 89503-2256
Phone (817) 683-5858

Other practice location 1

507 State Route 2 Ste E
Sultan, WA 98294-9515
Phone (360) 799-0958

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250721002989 CA Practitioner - Physical Therapist in Private Practice 4789013202 Reassigns benefits to 1 organization
I20260128001527 NV Practitioner - Physical Therapist in Private Practice 4789013202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians
Keaton Physical Therapy PLLCGroup PAC ID 9931687357, 2 clinicians

Practice addresses (Care Compare)

11053 Donner Pass Rd
Truckee, CA 96161-4839
Phone (530) 587-4790

7530 Longley LN
Suite 105
Reno, NV 89511-1463
Phone (775) 235-6922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6726NVMDPulmonary Disease Physician
308238CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Keaton Physical Therapy PLLC Physical Therapist CurrentSince Dec 15, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Jun 30, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Jun 30, 2025 Accepting new patients

Locations

9281 Office Park Cir
Ste 100
Elk Grove, CA 95758
Phone (916) 892-1330

11053 Donner Pass Rd
Truckee, CA 96161
Phone (530) 587-4790

11253 Brockway Rd
Ste 102
Truckee, CA 96161
Phone (530) 214-7029

7530 Longley Ln
Ste 105
Reno, NV 89511
Phone (775) 235-6922

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1780246710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 WYOMING CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032256",
            "telephone_number": "817-683-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11253 BROCKWAY RD STE 102",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961613358",
            "telephone_number": "530-214-7029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 State Route 2 Ste E",
            "address_purpose": "LOCATION",
            "city": "Sultan",
            "state": "WA",
            "postal_code": "982949515",
            "country_code": "US",
            "telephone_number": "360-799-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATON",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-29",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.