Individual provider Active NPI

Ryan Christopher Faker, PT

  • Physical Therapist
  • Rock Hill, SC
National Provider Identifier
1881029676
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4533 Issued in SC
Practice address
2670 Mills Park Dr
Rock Hill, SC 29732-8599
Phone
(803) 324-3745
Fax
(803) 324-9845
NPI assigned
Sep 11, 2013
Last updated
Feb 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8926 NC
Physical Therapist 225100000X 4533 SC Primary

Addresses

Primary practice location

2670 Mills Park Dr
Rock Hill, SC 29732-8599

Mailing address

2670 Mills Park Dr
Rock Hill, SC 29732-8599
Phone (803) 324-3745

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
019644NYMDOccupational Therapist
8926NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler Hospital Inc CurrentSince Mar 21, 2022 Accepting new patients
Schuyler Hospital Inc CurrentSince Mar 21, 2022 Accepting new patients

Locations

220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1881029676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 MILLS PARK DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328599",
            "telephone_number": "803-324-3745",
            "fax_number": "803-324-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 MILLS PARK DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328599",
            "telephone_number": "803-324-3745",
            "fax_number": "803-324-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKER",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-11",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "8926",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.