Individual ProviderRyan VandusenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2007 NE 40th Rd, Homestead, FL 33033-5122(786) 261-1066PECOS EnrollmentBased on the most recent information from CMS, provider Ryan Vandusen does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1861616823Provider TypeIndividualFull NameVandusen, RyanCredentialRPTGenderMaleSole ProprietorYesEnumeration Date4/12/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address2007 NE 40th Rd, Homestead, FL 33033-5122Phone(786) 261-1066FaxUnlisted FaxMailing LocationMailing Address2007 NE 40th Rd, Homestead, FL 33033-5122Phone(786) 261-1066FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT20029Florida