RYAN PANE (NPI# 1538600069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538600069 |
| Entity Type | Individual |
| Full Name | RYAN PANE |
| Credential | CO |
| Practice Address |
115 Technology Dr Sutie Cp102 Trumbull CT 06611-6337 |
| Practice Telephone | 2032611162 |
| Mailing Telephone | 2032611162 |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | 000833577I | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
115 TECHNOLOGY DR SUTIE CP102 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-6337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657276 | Nanci E Kaczegowicz | Nurse Practitioner | 115 Technology Dr, Suite B-106, Trumbull, CT 06611-6337 | 2005-05-24 |
| 1114525557 | Ashley L Fedor | Physical Therapist | 115 Technology Dr, Trumbull, CT 06611-6337 | 2020-10-16 |
| 1194205088 | Cassandra Fitzgerald | Physical Therapist | 115 Technology Dr, Suite B100, Trumbull, CT 06611 | 2018-08-20 |
| 1326589813 | Thomas Stec | Orthotist | 115 Technology Dr, Suite Cp102, Trumbull, CT 06611-6342 | 2017-03-16 |
| 1669913166 | Andrew Dows | Orthotist | 115 Technology Dr, Trumbull, CT 06611-6337 | 2017-03-16 |
| 1255707410 | Christine Griffin Bachmann | Nurse Practitioner | 115 Technology Dr, Trumbull, CT 06611-6337 | 2015-08-11 |
| 1356721385 | Monica Jain & Associates,llc | Internal Medicine | 115 Technology Dr, Suite B106, Trumbull, CT 06611-6337 | 2015-06-04 |
| 1730594821 | Sharon Dragich | Obstetrics & Gynecology | 115 Technology Dr, Trumbull, CT 06611-6337 | 2014-06-26 |
| 1033543285 | Anne Wolf | Psychiatry & Neurology | 115 Technology Dr, Trumbull, CT 06611-6337 | 2013-08-23 |
| 1144565698 | Kurilec Eye Care, LLC | Ophthalmology | 115 Technology Dr, #c201, Trumbull, CT 06611-6337 | 2012-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326589813 | Thomas Stec | Orthotist | 115 Technology Dr, Suite Cp102, Trumbull, CT 06611-6342 | 2017-03-16 |
| 1669913166 | Andrew Dows | Orthotist | 115 Technology Dr, Trumbull, CT 06611-6337 | 2017-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427437946 | Peter Mace | Orthotist | 283 Hartford Ave, Wethersfield, CT 06109-1256 | 2015-05-29 |
| 1710022454 | Christopher Neil Heon | Orthotist | 282 State St, North Haven, CT 06473-2191 | 2007-02-20 |
| 1497801666 | Igor Malitsky | Orthotist | 51 Shunpike Rd Ste 41, Cromwell, CT 06416-2497 | 2007-01-28 |
| 1831253228 | Vito Joseph Disibio | Orthotist | 99 Farmington Ave, Bristol, CT 06010 | 2006-12-20 |
| 1497782288 | David Ashley Knapp | Orthotist | 131 Main Street Ext # 1, Middletown, CT 06457 | 2006-06-27 |
| 1740715838 | David Hill Lammlin | Orthotist | 712 Brook St, Rocky Hill, CT 06067-3447 | 2017-04-26 |
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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.