DR. RYAN MCNEIL PROFFIT (NPI# 1720218381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720218381 |
Entity Type | Individual |
Full Name | DR. RYAN MCNEIL PROFFIT |
Credential | DPT |
Practice Address |
4700 Las Vegas Blvd N Bldg 1300 Nellis Afb NV 89191-6600 |
Practice Telephone | 7026533100 |
Practice Fax Number | 7026533112 |
Mailing Telephone | 7026533100 |
Mailing Fax Number | 7026533112 |
Enumeration Date | 2009-07-16 |
Last Update Date | 2014-06-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
35483 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4700 LAS VEGAS BLVD N BLDG 1300 |
City | NELLIS AFB |
State | NV |
Zip Code | 89191-6600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902880677 | Allan Edward Bigtas Jr. | Social Worker | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2005-12-06 |
1750910006 | Matthew Patrick O'neil | Dentist | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2020-04-07 |
1467914606 | Matthew Carmody | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2019-04-05 |
1154818938 | Alexis Jane Scott | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2018-04-17 |
1538683297 | Daniel Alan Reid | Dentist | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2017-08-02 |
1477894145 | Shameka Lashay Williams | Advanced Practice Midwife | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2013-03-06 |
1134360506 | Matthew Vanderhoek | Anesthesiology | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2009-03-16 |
1013160563 | Pamela Landsteiner | Dermatology | 4700 Las Vegas Blvd N Bldg 1300, Dermatology Clinic, Nellis Afb, NV 89191-6600 | 2008-10-28 |
1265682645 | Ivy Tat Madson | Optometrist | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2008-09-23 |
1912182775 | Anthony Allen Walker | Physician Assistant | 4700 Las Vegas Blvd N Bldg 1300, Nellis Afb, NV 89191-6600 | 2007-12-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225662687 | Ashley Raye Roth-garcia | Student in an Organized Health Care Education/Training Program | 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 | 2020-02-25 |
1427553734 | Christopher Robert Weisgarber | Student in an Organized Health Care Education/Training Program | Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 | 2018-03-28 |
1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
1528329018 | Mayer M Jeppson | Psychologist | 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 | 2012-05-31 |
1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
1568634335 | Eleanor C Basilio | Registered Nurse | 4700 Las Vegas Blvd., Nellis Afb, NV 89191 | 2008-04-01 |
1316137037 | Sarah Rachel Glick | Pediatrics | 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 | 2007-07-30 |
1619181302 | Ben Carter Robinson | Orthopaedic Surgery | 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 | 2007-05-10 |
1609992205 | Conrad Lochner IIi, Odpc | Optometrist | 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 | 2007-03-22 |
Find all providers in zip 89191 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154946309 | Lauren Liebert | Physical Therapist | 8975 S Pecos Rd Ste 7a, Henderson, NV 89074-7161 | 2020-06-13 |
1255956058 | Mollet Physical Therapy Pllc | Physical Therapist | 4100 Caughlin Pkwy, Reno, NV 89519-0608 | 2020-06-08 |
1912544800 | Diana Christine Adamson | Physical Therapist | 8224 Chimney Bluffs St, North Las Vegas, NV 89085-4412 | 2019-12-10 |
1972140150 | Nina Routon | Physical Therapist | 3521 Smoketree Ave, Carson City, NV 89705-8011 | 2019-12-05 |
1538638911 | Jacquelyn Nemedez | Physical Therapist | 1898 College Pkwy Ste 102, Carson City, NV 89706-7926 | 2018-11-15 |
1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
1124506282 | Jesus Enrique Garcia-camacho | Physical Therapist | 400 N Stephanie St., Suite 310, Henderson, NV 89014-6608 | 2018-08-01 |
1427543081 | Physiospine Reno, LLC | Physical Therapist | 6880 S Mccarran Blvd Ste 13, Reno, NV 89509-6129 | 2018-06-26 |
1689184319 | Laura Lentz | Physical Therapist | 14430 Rancheros Dr, Reno, NV 89521-7319 | 2017-10-09 |
1770821100 | Erin Shaw | Physical Therapist | 6300 Mccarran St Unit 1027, North Las Vegas, NV 89081-8134 | 2013-01-18 |
Find all providers with the same taxonomy |
City | NELLIS AFB |
Zip Code | 89191 |
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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.