Active NPI
Ryan Flynn, ATC, LAT
- Athletic Trainer
- Sheboygan, WI
National Provider Identifier
1932515285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1494-39
- Practice address
- 2629 N 7TH St
Sheboygan, WI 53083-4932 - Phone
- (920) 451-5559
- NPI assigned
- Jul 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1494-39 | WI | Primary |
Addresses
Primary practice location
2629 N 7TH St
Sheboygan, WI 53083-4932
Mailing address
2075 Hazy Bay Rd
Tomahawk, WI 54487-9332
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1494-39 | WI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1932515285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 HAZY BAY RD",
"city": "TOMAHAWK",
"state": "WI",
"postal_code": "544879332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 N 7TH ST",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530834932",
"telephone_number": "920-451-5559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLYNN",
"first_name": "RYAN",
"name_prefix": "Mr.",
"credential": "ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "WI",
"license": "1494-39",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
- Melissa J Flannery, RDH
- Lauri Anne Flegel, LPN
- Jerilyn M Flipse
- Float Doctor LLC
- Richard Flunker, H.I.S.
- FMG Mead Avenue Wisconsin LLC (Sheboygan Progressive Care)
- FMG North 13TH Street Wisconsin LLC (Morningside Health Center)
- FMG South 13TH Street Wisconsin LLC (Meadow View Manor)
- Mary Dana Foggetti, DO
- Mai Sing Follett, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.