Chance Gauge Ryan, LMBT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

07961 Issued in NC

Practice address

9905 Sandy Rock PL Ste B&D
Charlotte, NC 28277-7734

Phone

(704) 541-2600

NPI assigned

Sep 18, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1801674361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 MARKET WAY DR APT 3104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774936",
            "telephone_number": "970-734-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 SANDY ROCK PL STE B&D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282777734",
            "telephone_number": "704-541-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5811 Market Way Dr Apt 3104",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282774936",
            "country_code": "US",
            "telephone_number": "970-734-3094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CHANCE",
        "middle_name": "GAUGE",
        "credential": "LMBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "15659",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "135843",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NC",
            "license": "07961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Leblanc OD PLLC
• Ryan Wishart LMFT PLLC
• Amy Ryan, M.D.
• Angela Ryan
• Anita Yolanda Ryan
• Cheryl Ryan, RPH
• Craig W Ryan, PT
• Darlene J Ryan, PT
• Elly Jo Ryan, LCASA
• Michael Joseph Ryan, DPM

• Massage Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Massage Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.