Provider Demographics
NPI:1841386380
Name:DUNLEVY, RYAN JEFFREY (MSPT)
Entity Type:Individual
Prefix:MR
First Name:RYAN
Middle Name:JEFFREY
Last Name:DUNLEVY
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PATRICIA DR.
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-5448
Mailing Address - Country:US
Mailing Address - Phone:304-242-3147
Mailing Address - Fax:740-266-6394
Practice Address - Street 1:860 MAIN ST.
Practice Address - Street 2:
Practice Address - City:WINTERSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953
Practice Address - Country:US
Practice Address - Phone:740-264-9500
Practice Address - Fax:740-266-6394
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH8254225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDU4169522Medicare ID - Type Unspecified
OHDU4169521Medicare ID - Type Unspecified
OHDU4169523Medicare ID - Type Unspecified