Ryan A. Berry, LAT
Specialist/Technologist, Athletic Trainer in Appleton, WI. Individual provider (NPI-1).
NPI number1811989718
StatusActive
Last updated in NPPESJun 11, 2009
Details
- NPI
- 1811989718
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ryan A. Berry
- Credential
- LAT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 17, 2005
- Last updated
- Jun 11, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 223-039 | WI | Yes |
Practice location
N292 Hillside DrAppleton, WI 54915-9414
Phone 608-334-4410
Mailing address
N292 Hillside DrAppleton, WI 54915-9414
Phone 608-334-4410
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 46 Athletic Trainer providers in Appleton · All 4,063 providers in Appleton
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