Ryan M Nall

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60074448 Issued in WA

Practice address

6700 NE 162ND Ave
Ste 411
Vancouver, WA 98682-3858

Phone

(360) 567-0633

Fax

(360) 567-0635

NPI assigned

Jun 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Proactive LLCGroup PAC ID 7315218708, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Proactive LLC

  dba ProActive Physical Therapy

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1396273199

  Physical Therapist, WA

  Medicare reassignment Care Compare group NPD
• Proactive Orthopedic and Sports Physical Therapy of Battle Ground

  • Physical Therapy Clinic/Center
  • Battle Ground, WA
  • NPI 1922235738
  NPD (past)
• Proactive Orthopedic and Sports Physical Therapy of Gresham LLC

  • Physical Therapy Clinic/Center
  • Gresham, OR
  • NPI 1467413179
  NPD (past)
• Proactive Orthopedic and Sports Physical Therapy of Oregon City LLC

  • Physical Therapy Clinic/Center
  • Oregon City, OR
  • NPI 1760443477
  NPD (past)

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1801057765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52194",
            "address_2": "DEPT CODE 961",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850722194",
            "telephone_number": "503-489-1781",
            "fax_number": "503-489-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 NE 162ND AVE",
            "address_2": "STE 411",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986823858",
            "telephone_number": "360-567-0633",
            "fax_number": "360-567-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALL",
        "first_name": "RYAN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-23",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "5697",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60074448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Settles Najjar
• Julie Kosei Linda Nakandakare, CDPT
• Ai Nakayama
• Timothy Keith Katsumi Nakayama, BA
• Shazzareigh Malialani Nakoa-Chung
• Nalu Ventures LLC (Brooke Barak LMT)
• Nami Southwest Washington (NAMI SW WA; NAMI Clark County)
• Jane Namkung, MD
• Namu Chiropractic
• Maria Gorret Namuddu

• Physical Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.