Individual provider Active NPI

Ryan Allan Kahn, DPT

  • Orthopedic Physical Therapist
  • Redwood City, CA
National Provider Identifier
1982972675
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
38527 Issued in CA
Practice address
805 Veterans Blvd Ste 101
Redwood City, CA 94063-1750
Phone
(650) 701-0390
Fax
(650) 701-0105
NPI assigned
Dec 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 38527 CA Primary

Addresses

Primary practice location

805 Veterans Blvd Ste 101
Redwood City, CA 94063-1750

Mailing address

805 Veterans Blvd Ste 101
Redwood City, CA 94063-1750
Phone (650) 701-0390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120328000341 CA Practitioner - Physical Therapist in Private Practice 9032379169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

10459 Mountain View Ave
Suite G
Loma Linda, CA 92354-2033
Phone (909) 478-9508

268 Redwood Shores Pkwy
Redwood City, CA 94065-1172
Phone (650) 591-9581

900 Veterans Blvd
Suite 230
Redwood City, CA 94063-1740
Phone (650) 701-0390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Cal Physical Therapy PC Orthopedic CurrentSince Apr 9, 2022 Accepting new patients
Select Cal Physical Therapy PC Orthopedic Current Accepting new patients
Select Cal Physical Therapy PC CurrentSince Apr 9, 2022 Accepting new patients

Locations

1860 El Camino Real
Ste 201
Burlingame, CA 94010
Phone (650) 259-8009

360 Dardanelli Ln
Ste 1F
Los Gatos, CA 95032
Phone (408) 374-8823

929 Pacific St
Monterey, CA 93940
Phone (831) 373-1209

268 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 591-9581

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.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1982972675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 VETERANS BLVD STE 101",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631750",
            "telephone_number": "650-701-0390",
            "fax_number": "650-701-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 VETERANS BLVD STE 101",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631750",
            "telephone_number": "650-701-0390",
            "fax_number": "650-701-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "RYAN",
        "middle_name": "ALLAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-08",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "38527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.

Verify at the official NPI Registry.