Samantha L Ryan, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

60936457 Issued in WA

Practice address

840 Madison Ave N
Bainbridge Island, WA 98110-1769

Phone

(206) 855-0955

NPI assigned

May 13, 2019

Sex

Female

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": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1821654054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 NW COWGIRL WAY",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983704501",
            "telephone_number": "360-536-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 MADISON AVE N",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101769",
            "telephone_number": "206-855-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19980 10th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983706321",
            "country_code": "US",
            "telephone_number": "360-598-1538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SAMANTHA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "60936457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Roth
• Johnathan Rowling
• Marjorie Rubin, MA, LMHC
• Vicki Runquist
• Judith Rutberg-Self, PHD
• Bianca Rose Mary Saad, PT, DPT
• Safeway Inc
• Sara R Sali, LMP
• Sally Hewett, D.D.S., P.S.
• Heidi I Sampson, RPH

• Physical Therapy Assistant in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.