Active NPI
Ryan Danielson, DPT
- Physical Therapist
- Ankeny, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 096738
- Practice address
- 800 E 1St St Ste 2000
Ankeny, IA 50021-2077 - Phone
- (515) 643-7555
- Fax
- (515) 643-7560
- NPI assigned
- Jul 15, 2019
- Sex
- Male
- Sole proprietor
- No
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 and National Provider Directory roles.
-
- Physical Therapist
- Ankeny, IA
- NPI 1548440928
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinics Inc
Practice addresses (Care Compare)
12493 University Ave
Clive, IA 50325-8286
307 E Scenic Valley Ave
Indianola, IA 50125-4865
3310 SW 9TH St
Mercyone South Des Moines Physical Therapy
Des Moines, IA 50315-7647
Phone (515) 244-5005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190729000156 | IA | Practitioner - Physical Therapist in Private Practice | 3476889593 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096738 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics Inc | Physical Therapist | Current | Accepting new patients |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Current | Accepting new patients |
Locations
1120 Greene St
Adel, IA 50003
Phone (515) 993-4656
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
3310 SW 9th St
Des Moines, IA 50315
Phone (515) 244-5005
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 096738 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
800 E 1St St Ste 2000
Ankeny, IA 50021-2077
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-7555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2019.
{
"created_epoch": "1563148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1922650449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-7555",
"fax_number": "515-643-7560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E 1ST ST STE 2000",
"city": "ANKENY",
"state": "IA",
"postal_code": "500212077",
"telephone_number": "515-643-7555",
"fax_number": "515-643-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELSON",
"first_name": "RYAN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-15",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "096738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; 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.