Rhonda Ryan, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MASG2229 Issued in ID

Practice address

1880 E 17TH St
Idaho Falls, ID 83404-6468

Phone

(208) 523-0121

Fax

(208) 529-0001

NPI assigned

Aug 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ifcc PLLC

  • Chiropractor
  • Idaho Falls, ID
  • NPI 1881600625
  NPD (past)

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439337600000",
    "number": "1922474097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046468",
            "telephone_number": "208-523-0121",
            "fax_number": "208-529-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 E 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046468",
            "telephone_number": "208-523-0121",
            "fax_number": "208-529-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "RHONDA",
        "credential": "L.M.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MASG2229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF OCCUPATIONAL LISCENSE",
            "identifier": "MSG2229",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell Guymon Orthodontics, PA
• Daric J Russell, DO
• Sarah Lynn Russell, BSW, LMSW
• Lisa J Russom, LSW
• Orin Kelley Ryan, DPT
• S. Albertson Dermatology and Skin Cancer Center LLC
• S&G Home Health LLC
• S&G Hospice of Idaho LLC
• Katie K Sacco, LPC
• Angela J Sackett, D.C.

• Massage Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.