MEDICARE: RYAN SHOWALTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	CP053883T	CO
2	225100000X	Physical Therapist	1407952	TX

General Provider Information

NPI Number	:	1740134493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN SHOWALTER

Provider Business Mailing Address
First Line	:	8540 SCARBOROUGH DR STE 350
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-7582
Country	:	US
Telephone Number	:	817-964-2211
Fax Number	:

Provider Business Practice Location Address
First Line	:	8540 SCARBOROUGH DR STE 350
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-7582
Country	:	US
Telephone Number	:	817-964-2211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	03/04/2026

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Directions to “ RYAN SHOWALTER ” Practice Location

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