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Physician Compare National (NPI:1689206708)

HEALTHCARE PROVIDER: RYAN MASON STARNER DPT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1689206708
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6406283555
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20200302000903
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name STARNER
Individual professional last name
Provider First Name RYAN
Individual professional first name
Provider Middle Name MASON
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2019
Individual professional's medical school graduation year
Primary Specialty PHYSICAL THERAPY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name PERSONAL TOUCH PHYSICAL THERAPY AND WELLNESS CENTER
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 9830089598
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 9
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 3127 CAPE HORN RD
Group Practice or individual's line 1 address
City RED LION
Group Practice or individual's city
State PA
Group Practice or individual's state
Zip Code 173569071
Group Practice or individual's zip code (9 digits when available)
Phone Number 7178401874
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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