Ryan Bean, PT, DPT, OMPT, OCS
Individual provider Active NPI Physical Therapist · Davison, MI
NPI 1922067974 · NPPES record last updated Aug 26, 2015
Key facts
- NPI
- 1922067974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 5501012027 (MI)
- Practice address
- 10078 Lapeer Rd
Ste. B
Davison, MI 48423-9031 - Phone
- (810) 653-6200
- Fax
- (810) 653-6226
- NPI assigned
- Mar 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Primary Prevention Physiotherapy PLLC
Practice addresses (Care Compare)
209 S Cherry St
Flushing, MI 48433-2020
Phone (810) 487-9733
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150320001769 | MI | Practitioner - Physical Therapist in Private Practice | 6901123496 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Prevention Physiotherapy PLLC | Physical Therapist | Current |
Accepting new patients |
| Michigan Rehabilitation Specialists of Fowlerville LLC | Physical Therapist | Current |
Accepting new patients |
| Michigan Rehabilitation Specialists of Fowlerville, LLC | Current |
Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200
209 S Cherry St
Flushing, MI 48433
Phone (810) 487-9733
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501012027 | MI | Yes |
Addresses
Primary practice location
10078 Lapeer Rd
Ste. B
Davison, MI 48423-9031
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other providers in Davison, MI
- Tori Bakewell
- Michelle Balint
- Phaedra Noelle Bartlett
- Barbara Anne Baryo
- Sutton Bate
- Holly Bearse
- Caitlin Marie Bearss
- Courtney Beauvais
- Brian J Beck
- Ralph J Becker
All providers in Davison, MI · Physical Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.