Active NPI
Ryan Maxwell Maves, DPT
- Sports Physical Therapist
- El Dorado Hills, CA
National Provider Identifier
1821969171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 308689
- Practice address
- 4990 Hillsdale Cir Ste 300
El Dorado Hills, CA 95762-5770 - Phone
- (916) 905-6378
- Fax
- (916) 672-0114
- NPI assigned
- Sep 17, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 308689 | CA | Primary |
Addresses
Primary practice location
4990 Hillsdale Cir Ste 300
El Dorado Hills, CA 95762-5770
Mailing address
3000 Airway Dr Ste 175
Reno, NV 89502-6288
Phone (916) 905-6378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 308689 | CA | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kime Performance Nevada LLC | Current | Accepting new patients | |
| Mikla Dunning Physical Therapy Systems, PC | Past | Accepting new patients |
Locations
3000 Airway Dr
Ste 175
Reno, NV 89502
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Reno, NV
- NPI 1053918185
-
- Physical Therapy Clinic/Center
- El Dorado Hills, CA
- NPI 1619334992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1821969171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 AIRWAY DR STE 175",
"city": "RENO",
"state": "NV",
"postal_code": "895026288",
"telephone_number": "916-905-6378",
"fax_number": "916-672-0114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4990 HILLSDALE CIR STE 300",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957625770",
"telephone_number": "916-905-6378",
"fax_number": "916-672-0114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAVES",
"first_name": "RYAN",
"middle_name": "MAXWELL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-17",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CA",
"license": "308689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.