Active NPI
Ryan Hickey, D.P.T.
- Physical Therapist
- Bonita Springs, FL
National Provider Identifier
1851835821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT31885
- Practice address
- 26201 S Tamiami TRL
Bonita Springs, FL 34134-7822 - Phone
- (239) 498-0558
- NPI assigned
- Dec 11, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT31885 | FL | Primary |
Addresses
Primary practice location
26201 S Tamiami TRL
Bonita Springs, FL 34134-7822
Mailing address
7389 Sea Island Rd
Fort Myers, FL 33967-5031
Phone (239) 272-0934
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT31885 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Rehab & Lymphatics LLC | Physical Therapist | Current | Accepting new patients |
Locations
1715 Heritage Trl
Ste 203
Naples, FL 34112
Phone (239) 212-1500
Organizations & group practices 1
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": "1481414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481414400000",
"number": "1851835821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7389 SEA ISLAND RD",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339675031",
"telephone_number": "239-272-0934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26201 S TAMIAMI TRL",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341347822",
"telephone_number": "239-498-0558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKEY",
"first_name": "RYAN",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-11",
"last_updated": "2016-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT31885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.