Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ryan Byrnes

Individual provider Physical Therapist · NPI 1619786720

Ryan Byrnes is a Physical Therapist in Private Practice in Flagstaff, Arizona. Qualified in 2024, 2 years ago. Practices with Basecamp Physical Therapy and Performance of Flagstaff LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2025
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Practice location Address checks out

2619 S Woodlands Village Blvd Ste 750
Flagstaff, AZ 86001-1628
Phone: (928) 224-0747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-033972 (AZ)

Record details

NPI number1619786720
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 3, 2025
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address3223 N Webb Rd Ste 2, Wichita, KS 67226-8176

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Basecamp Physical Therapy And Performance Of Flagstaff Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Flagstaff