Individual provider Active NPI

Ryan Nader, DPT

  • Physical Therapist
  • Benbrook, TX
National Provider Identifier
1821848474
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
6407 Southwest Blvd
Benbrook, TX 76132-2777
Phone
(817) 423-5611
NPI assigned
Mar 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

6407 Southwest Blvd
Benbrook, TX 76132-2777

Mailing address

PO Box 932184
Atlanta, GA 31193-2184

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409002746 TX Practitioner - Physical Therapist in Private Practice 1153769252 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Baylor College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reneau Rehab IncGroup PAC ID 2365527645, 5 clinicians
Endeavor Rehab Center IncGroup PAC ID 6800989369, 123 clinicians

Practice addresses (Care Compare)

2500 Kemp Blvd
Wichita Falls, TX 76309-5347
Phone (940) 687-3422

6407 Southwest Blvd
Benbrook, TX 76132-2777
Phone (817) 423-5611

6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Reneau Rehab Inc Physical Therapist CurrentSince Feb 21, 2025 Accepting new patients
Reneau Rehab Inc Physical Therapist CurrentSince Feb 21, 2025 Accepting new patients
Endeavor Rehab Center Inc Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients

Locations

6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533

6407 Southwest Blvd
Benbrook, TX 76132
Phone (817) 423-5611

5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600

896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262

2500 Kemp Blvd
Wichita Falls, TX 76309
Phone (940) 687-3422

110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1821848474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932184",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311932184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6407 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761322777",
            "telephone_number": "817-423-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADER",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benbrook, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.