Individual provider Active NPI

Ryan Wingott Lew

  • Physical Therapist
  • Corona, CA
National Provider Identifier
1912656653
Registry record updated Mar 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307676 Issued in CA
Practice address
1561 E Ontario Ave Ste 101
Corona, CA 92881-6663
Phone
(951) 407-9233
NPI assigned
Mar 21, 2022
Last updated
Mar 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 307676 CA Primary

Addresses

Primary practice location

1561 E Ontario Ave Ste 101
Corona, CA 92881-6663

Mailing address

8240 Rush St Apt E
Rosemead, CA 91770-3662
Phone (626) 674-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220907003890 CA Practitioner - Physical Therapist in Private Practice 1052795259 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4755 Katella Ave
Apt 101
Cypress, CA 90720-1903
Phone (657) 213-8687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307676CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter S Birnbaum DO Inc CurrentSince May 3, 2023 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Mar 25, 2024 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
California Rehab & Sports Therapy CurrentSince Mar 25, 2024 Accepting new patients
Sand Coast Rehab Physical Therapy Inc Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Fairbanks & Power Physical Therapy Corp. Physical Therapist CurrentSince May 1, 2022 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Past Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Past Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Past Accepting new patients

Locations

1211 W La Palma Ave
Ste 506
Anaheim, CA 92801
Phone (714) 491-3670

1211 W La Palma Ave
Ste 509
Anaheim, CA 92801

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877

415 Carmen Dr
Camarillo, CA 93010
Phone (805) 322-9083

441 E Carson St
Ste K
Carson, CA 90745
Phone (732) 375-0420

1561 E Ontario Ave
Ste 101
Corona, CA 92881
Phone (951) 407-2933

255 E Rincon St
Ste 112
Corona, CA 92879
Phone (951) 523-8509

4755 Katella Ave
Ste 101
Cypress, CA 90720
Phone (657) 213-8687

949 S State St
Hemet, CA 92543
Phone (951) 929-9890

2 Peters Canyon Rd
Ste 100
Irvine, CA 92606
Phone (949) 679-3988

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

12539 Imperial Hwy
Ste 201
Norwalk, CA 90650
Phone (562) 379-9541

3111 N Tustin St
Ste 180
Orange, CA 92865
Phone (714) 282-7701

3558 Round Barn Blvd
Ste 600
Santa Rosa, CA 95403

19000 Hawthorne Blvd
Ste 300
Torrance, CA 90503
Phone (310) 793-1800

Organizations & group practices 9

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": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1912656653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 RUSH ST APT E",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703662",
            "telephone_number": "626-674-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 E ONTARIO AVE STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928816663",
            "telephone_number": "951-407-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "RYAN",
        "middle_name": "WINGOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-21",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.

Verify at the official NPI Registry.