Ryan G Tollis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0015543 Issued in CO

Practice address

15909 Jackson Creek Pkwy
Monument, CO 80132

Phone

(719) 481-0899

Fax

(719) 481-0897

NPI assigned

May 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Creed Family Physical Therapy Center

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1518481852

  Physical Therapist

  NPD

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1932691409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15909 JACKSON CREEK PKWY",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328693",
            "telephone_number": "719-481-0899",
            "fax_number": "719-481-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15909 JACKSON CREEK PKWY",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "80132",
            "telephone_number": "719-481-0899",
            "fax_number": "719-481-0897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3605 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809186630",
            "country_code": "US",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3605 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809186630",
            "country_code": "US",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLLIS",
        "first_name": "RYAN",
        "middle_name": "G",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0015543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Seth Thomas, DDS
• Karla Thompson, LMT
• Soledad Bandilla Thornton
• Gerard Timmins, D.D.S, M.S.
• Charles Reagan Toal, PT, DPT
• Michael Torres, D.O.
• Tri Lakes Dental
• Tri-Lakes Counseling and Peak Performance, LLC
• Tri-Lakes Monument Fire Protection District
• Tri-Lakes Monument Fire Protection District

• Physical Therapist in Monument, CO
• Providers in Monument, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.