MR. RYAN PEETERS (NPI# 1366803504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366803504 |
| Entity Type | Individual |
| Full Name | MR. RYAN PEETERS |
| Credential | DPT |
| Practice Address |
120 E Lancaster Ave Suite 106 Ardmore PA 19003-3209 |
| Mailing Address |
120 W Germantown Pike Suite 100 Plymouth Meeting PA 19462-1420 |
| Practice Telephone | 4842976491 |
| Practice Fax Number | 6108967218 |
| Mailing Telephone | 6102700370 |
| Mailing Fax Number | 6102700374 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT024056 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
120 E LANCASTER AVE SUITE 106 |
| City | ARDMORE |
| State | PA |
| Zip Code | 19003-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053553248 | Desirae Urban | Physical Therapist | 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003-3209 | 2009-04-02 |
| 1285285320 | Emily Ellithorpe-luker | Physical Therapist | 120 E Lancaster Ave, Ardmore, PA 19003-3209 | 2019-09-20 |
| 1073053682 | Hilary Park | Physical Therapist | 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003-3209 | 2017-03-01 |
| 1619425642 | Corey Baldwin | Physical Therapist | 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003-3209 | 2016-09-19 |
| 1952739880 | Michael Bartolomucci | Physical Therapist | 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003-3209 | 2013-11-01 |
| 1821420605 | Sean Wells | Physical Therapist | 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003-3209 | 2013-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396231973 | Ann's Professional Home Care, LLC. | Home Health | 119 Coulter Ave Ste 210, Ardmore, PA 19003 | 2018-07-06 |
| 1154864247 | Renee Suzanne Downey | Counselor | 63 W. Lancaster Ave., Suite 2, Ardmore, PA 19003 | 2016-11-22 |
| 1972908739 | Teleradiology Solutions PC | Clinic/Center | 22 Lianfair Road, Unit 6, Ardmore, PA 19003 | 2014-10-23 |
| 1194120832 | Lindsay Coffman | Nurse Practitioner | 610 West Lancaster Avenue, Ardmore, PA 19003 | 2014-10-23 |
| 1306247143 | Samantha Hunsicker | Social Worker | 9 Cricket Terrace Ctr, Ardmore, PA 19003 | 2014-09-11 |
| 1730514050 | Ultimate Hearing Solutions | Audiologist-Hearing Aid Fitter | 14 Greenfield Avenue, Ardmore, PA 19003 | 2013-09-05 |
| 1861831455 | See Inc | Optometrist | 39 Coulter, Ardmore, PA 19003 | 2013-06-18 |
| 1265740518 | Nicole Quigley Finnegan | Occupational Therapist | 120 Saint Pauls Rd, Ardmore, PA 19003 | 2010-09-21 |
| 1588989719 | Paul Maury Prusky | Family Medicine | 25 East Athens Ave, Ardmore, PA 19003 | 2010-03-31 |
| 1790017333 | Dongxiao Liu | Acupuncturist | 2 W. Lancaster Ave, Ardmore, PA 19003 | 2010-02-08 |
| Find all providers in zip 19003 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324699 | Thomas Rocca | Physical Therapist | 120 E Lancaster Ave Ste 205, Ardmore, PA 19003-3209 | 2020-10-26 |
| 1962001164 | Alexandra Grambone | Physical Therapist | 120 E Lancaster Ave Ste 205, Ardmore, PA 19003-3209 | 2020-10-20 |
| 1285285320 | Emily Ellithorpe-luker | Physical Therapist | 120 E Lancaster Ave, Ardmore, PA 19003-3209 | 2019-09-20 |
| 1134774284 | Amber Nauman | Physical Therapist | 120 E Lancaster Ave Ste 205, Ardmore, PA 19003-3209 | 2019-08-06 |
| 1982164661 | Ivo Milic-strkalj | Physical Therapist | 120 E Lancaster Ave Ste 205, Ardmore, PA 19003-3209 | 2019-03-20 |
| 1073094298 | Andrew Bacon | Physical Therapist | 120 E Lancaster Ave Ste 205, Ardmore, PA 19003-3209 | 2018-08-25 |
| 1841778537 | Eric Medaglia-kurtz | Physical Therapist | 120 E Lancaster Ave Ste 205, Ardmore, PA 19003-3209 | 2018-08-03 |
| 1992206429 | Marie Kiechel | Physical Therapist | 120 E Lancaster Ave Ste 205, Ardmore, PA 19003-3209 | 2018-02-21 |
| 1073053682 | Hilary Park | Physical Therapist | 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003-3209 | 2017-03-01 |
| 1619425642 | Corey Baldwin | Physical Therapist | 120 E Lancaster Ave, Suite 106, Ardmore, PA 19003-3209 | 2016-09-19 |
| Find all providers in ARDMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.