Individual provider Active NPI

Ryan Maxwell Maves, DPT

  • Sports Physical Therapist
  • El Dorado Hills, CA
National Provider Identifier
1821969171
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
308689 Issued in CA
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

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
308689CAMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kime Performance Nevada LLC CurrentSince Sep 22, 2025 Accepting new patients
Mikla Dunning Physical Therapy Systems, PC PastSince Sep 21, 2025 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.

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.

Verify at the official NPI Registry.