Ryan Fitzpatrick

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17282 Issued in NC

Practice address

308 Brynn Marr Rd
Jacksonville, NC 28546-7023

Phone

(910) 478-9701

NPI assigned

Aug 10, 2017

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Activcare Physical Therapy, LLC

  • Clinic/Center
  • Raleigh, NC
  • NPI 1548409626

  Physical Therapist

  Medicare reassignment NPD
• Cora North Carolina, LLC

  • Rehabilitation Clinic/Center
  • Wilmington, NC
  • NPI 1467964189
  NPD (past)
• Professional Physical Therapy & Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Jacksonville, NC
  • NPI 1184806283
  NPD (past)

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1982129946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 OLIVE CHAPEL RD",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275028586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 BRYNN MARR RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285467023",
            "telephone_number": "910-478-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin S Fisher, MPT, LAT, ATC
• Patricia Goodman Fisher, MPT
• Richard Fisher
• Leah Christine Fitzgerald, FNP-BC
• Stephanie R Fitzgerald
• William Walter Fitzpatrick, M.S., CCC-SLP
• Sarrah A Fleharty
• Jennifer Ficca Flinchum, FNP-C
• Jaime Lynn Flores, LCSW
• Jeff T Flowers, LPC

• Physical Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.