MR. RYAN COLBY DESPAIN (DPT) – Physical Therapist, NPI 1386338523

MR. RYAN COLBY DESPAIN (DPT) is a healthcare provider. based in Bountiful, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 13392204-2401 (UT). The NPI Number for MR. RYAN COLBY DESPAIN (DPT) is 1386338523

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. RYAN COLBY DESPAIN (DPT)
NPI
1386338523
Phone
(801) 295-3553
Address
1551 RENAISSANCE TOWNE DR STE 350
Enumeration Date
8 June 2023
Last Update Date
26 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012953553
Graduation Year
2023 (3 years ago)
PAC ID
9436519709
Group Practice PAC ID
4789649047
Professional Enrollment ID
I20230718002768
Address ID
UT840107674BO1551XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for MR. RYAN COLBY DESPAIN (DPT)

  • 1551 RENAISSANCE TOWNE DR STE 350

    BOUNTIFUL, UT 840107674

    Phone: (801) 295-3553

    Fax: (801) 295-3599

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230718002768IPhysical Therapist In Private PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789649047View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

Is MR. RYAN COLBY DESPAIN (DPT) listed with a National Provider Identifier?
Yes — MR. RYAN COLBY DESPAIN (DPT) has NPI 1386338523 on file in the registry.
Is there an active status for MR. RYAN COLBY DESPAIN (DPT)?
For scheduling context, MR. RYAN COLBY DESPAIN (DPT) is shown as active in the registry.
How would a patient describe MR. RYAN COLBY DESPAIN (DPT)'s focus?
For MR. RYAN COLBY DESPAIN (DPT), the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MR. RYAN COLBY DESPAIN (DPT) associated with Bountiful?
Public fields place MR. RYAN COLBY DESPAIN (DPT) around Bountiful, Utah. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MR. RYAN COLBY DESPAIN (DPT) is noted as June 8, 2023 where the registry provides it.

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