Ryan Dipanfilo, ATC, CSCS, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0991 Issued in AZ

Practice address

401 E Jefferson St
Phoenix, AZ 85004-2438

Phone

(602) 462-6228

Fax

(602) 462-6227

NPI assigned

Apr 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1790172047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042438",
            "telephone_number": "602-462-6228",
            "fax_number": "602-462-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850042438",
            "telephone_number": "602-462-6228",
            "fax_number": "602-462-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPANFILO",
        "first_name": "RYAN",
        "credential": "ATC, CSCS, CES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "0991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Dion, CPNP-AC
• Marcy James Dionisio, D.C.
• Barbara Ann Dionne, F.N.P.
• Bradley Thomas Dionne, D.C.
• Kimberlee Dionne, M.S., LPC, BHP, NCC
• Lisa M Dipaola, LISA DIPAOLA
• Steven Richard Dipaola, P.T.
• Ashley Dipasquale, MD
• Donavin Dipietro
• Dori Marie Dipietro, LCSW, ACSW

• Athletic Trainer in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.