Look up the most recent NPI and PECOS records

Ryan Lollar

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Ryan Lollar does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 15 days ago.

Profile Details

Provider ID
1750864039
Provider Type
Individual
Full Name
Lollar, Ryan
Gender
Male

Sole Proprietor
No
Enumeration Date
9/12/2018
Last Updated
6/1/2022

Contact Information

Practice Location

15810 S 42nd St, Phoenix, AZ 85048-7409

(480) 759-0358

Unlisted Fax

Mailing Location

1514 E Sleepy Hollow Dr, Olathe, KS 66062-2262

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License LPT-31871 Arizona
Code 225100000X	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 297382 California
Code 225100000X	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 11-06170 Kansas

Ryan Lollar

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Salber, Jenna Leigh

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Kays, Pamela V

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Barnette, Kailey