Ryan Maxfield (NPI# 1093233066, PAC ID# 7719251917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1093233066 |
| PAC ID by PECOS | 7719251917 |
| Professional Enrollment ID | I20170927002434 |
| Full Name | Ryan Maxfield |
| Organization Legal Name | SUNDANCE PHYSICAL THERAPY LLC |
| Address |
3870 Stadium Way Ogden UT 84408-2701 |
| Phone Number | 8016267712 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 8729067236 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2850 N 2000 W, Farr West, UT 84404-9264 | 8017315421 | SUNDANCE PHYSICAL THERAPY FARR WEST |
| 2850 N 2000 W, Suite 204, Farr West, UT 84404-9264 | 8017315421 | SUNDANCE PHYSICAL THERAPY FARR WEST |
| 3870 Stadium Way, Ogden, UT 84408-2701 | 8016267712 | SUNDANCE PHYSICAL THERAPY LLC |
| 3870 Stadium Way, Dept 2701, Ogden, UT 84408-2701 | 8016267712 | SUNDANCE PHYSICAL THERAPY LLC |
| Organization Legal Name | SUNDANCE PHYSICAL THERAPY LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clay Stephen Sniteman | Physical Therapy | Sundance Physical Therapy LLC | 3870 Stadium Way, Dept 2701, Ogden, UT 84408-2701 |
| Amelia Llanos | Physical Therapy | Sundance Physical Therapy LLC | 3870 Stadium Way, Dept 2701, Ogden, UT 84408-2701 |
| Street Address |
3870 STADIUM WAY |
| City | OGDEN |
| State | UT |
| Zip | 84408-2701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clay Stephen Sniteman | Physical Therapy | Sundance Physical Therapy LLC | 3870 Stadium Way, Dept 2701, Ogden, UT 84408-2701 |
| Amelia Llanos | Physical Therapy | Sundance Physical Therapy LLC | 3870 Stadium Way, Dept 2701, Ogden, UT 84408-2701 |
| City | OGDEN |
| Zip Code | 84408 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | OGDEN + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.