Active NPI
Timothy J Ryan, OTR
- Occupational Therapist
- Harlingen, TX
National Provider Identifier
1952508830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 109455
- Practice address
- 4301 S Expressway 83
Harlingen, TX 78550-7949 - Phone
- (956) 423-4959
- NPI assigned
- Jul 2, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 109455 | TX | Primary |
Addresses
Primary practice location
4301 S Expressway 83
Harlingen, TX 78550-7949
Mailing address
2209 Summerfield LN
Harlingen, TX 78550-3590
Phone (956) 605-5507
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 |
|---|---|---|---|
| 109455 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952508830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 SUMMERFIELD LN",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785503590",
"telephone_number": "956-605-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 S EXPRESSWAY 83",
"city": "HARLINGEN",
"state": "TX",
"postal_code": "785507949",
"telephone_number": "956-423-4959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "TIMOTHY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "109455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harlingen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.