MEDICARE: RYAN MCGEE PT

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
2	225100000X	Physical Therapist	1250360	TX
3	225100000X	Physical Therapist	PT22502	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT22502	OTHER	FL	LICENSE #

General Provider Information

NPI Number	:	1285744128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN MCGEE PT

Provider Business Mailing Address
First Line	:	1444 CHASE LN
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-3419
Country	:	US
Telephone Number	:	954-873-1122
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 TUSCAN DR
Second Line	:	SUITE 240
City	:	IRVING
State	:	TX
Zip	:	75039-4133
Country	:	US
Telephone Number	:	972-979-6577
Fax Number	:

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	03/09/2015

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Directions to “ RYAN MCGEE PT” Practice Location

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