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

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