1285955583 NPI number — RYAN PATRICK MCCORMICK P.T., D.P.T.

Table of content: RYAN PATRICK MCCORMICK P.T., D.P.T. (NPI 1285955583)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285955583 NPI number — RYAN PATRICK MCCORMICK P.T., D.P.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCCORMICK
Provider First Name:
RYAN
Provider Middle Name:
PATRICK
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
P.T., D.P.T.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285955583
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1411 FALLS AVE E STE 401
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TWIN FALLS
Provider Business Mailing Address State Name:
ID
Provider Business Mailing Address Postal Code:
83301-3455
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
208-969-9945
Provider Business Mailing Address Fax Number:
208-944-0488

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1945 HILAND AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BURLEY
Provider Business Practice Location Address State Name:
ID
Provider Business Practice Location Address Postal Code:
83318-2714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
208-647-0024
Provider Business Practice Location Address Fax Number:
208-647-0239
Provider Enumeration Date:
06/21/2010

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  1204093 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225100000X , with the licence number: 7649 , registered in the state of ID ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 165348701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: PT25574 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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