Active NPI
Kailey Ryan
- Physical Therapist
- Missoula, MT
National Provider Identifier
1861807240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2360 Mullan Rd Ste B
Missoula, MT 59808-1811 - Phone
- (406) 542-4702
- NPI assigned
- Jun 24, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2360 Mullan Rd Ste B
Missoula, MT 59808-1811
Mailing address
2360 Mullan Rd Ste B
Missoula, MT 59808-1811
Other names 1
- Kailey Oliver
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2360 Mullan Rd
Suite C
Missoula, MT 59808-1811
Phone (406) 721-4436
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missoula Bone & Joint, LLC | Current | Accepting new patients |
Locations
2360 Mullan Rd
Ste C
Missoula, MT 59808
Phone (406) 542-9695
2360 Mullan Rd
Ste B
Missoula, MT 59808
Phone (406) 542-9695
2360 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 541-4263
Interoperability endpoints
- https://mbnj.mmi.prod.fhir.ema-api.com/fhir/r4/
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.
-
- Orthopaedic Surgery Physician
- Missoula, MT
- NPI 1447207212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1861807240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 MULLAN RD STE B",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 MULLAN RD STE B",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598081811",
"telephone_number": "406-542-4702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "KAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-24",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAILEY",
"last_name": "OLIVER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.