MEDICARE: RYAN MCFADDEN 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	PTL.0013659	CO

General Provider Information

NPI Number	:	1518371475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN MCFADDEN PT

Provider Business Mailing Address
First Line	:	4115 E 12TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-2303
Country	:	US
Telephone Number	:	484-356-8198
Fax Number	:

Provider Business Practice Location Address
First Line	:	4115 E 12TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-2303
Country	:	US
Telephone Number	:	484-356-8198
Fax Number	:

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

Provider Enumeration Date	:	06/18/2014
Last Update Date	:	07/23/2024

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Directions to “ RYAN MCFADDEN PT” Practice Location

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