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MR. RYAN CHARLES WEATHEROY
NPI 1073174447
Rehabilitation Practitioner in Roseville, CA

Active since June 26, 2019
1620 SANTA CLARA DR STE 100, ROSEVILLE, CA 95661(916) 786-3750 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ryan Charles Weatheroy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RYAN CHARLES WEATHEROY (NPI 1073174447) is an individual rehabilitation practitioner in Roseville, California and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1073174447
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameMR. RYAN CHARLES WEATHEROY
Location Address1620 SANTA CLARA DR STE 100Roseville, CA 95661-3559
Mailing Address1620 Santa Clara Dr Ste 100Roseville, CA 95661-3559 · (916) 786-3750
Phone(916) 786-3750
Sole ProprietorNo
Enumeration DateJune 26, 2019
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1073174447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
1620 SANTA CLARA DR STE 100, Roseville, CA 95661
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDY LUISSHA BAGGETT
Counselor (Mental Health)
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750
ALICIA VINEY
Peer Specialist
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750
MAKENNA RENEE LANDINI
Rehabilitation Practitioner
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 809-7222
GORJIA MALIK
Community Health Worker
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750
JESSICA COGGINS
Community Health Worker
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750
OFSANIA POPAL
Day Training/Habilitation Specialist
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750
TIERRA AKELA PHILLIPS
Community Health Worker
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750
FRANKIE VANG
Case Manager/Care Coordinator
1620 SANTA CLARA DR STE 100
ROSEVILLE, CA 95661
Placer County (916) 786-3750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Weatheroy's NPI number?

The NPI number for Ryan Weatheroy is 1073174447. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Ryan Weatheroy located?

Ryan Weatheroy practices at 1620 Santa Clara Dr Ste 100, Roseville, CA 95661. The listed phone number is (916) 786-3750.

What is Ryan Weatheroy's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Ryan Weatheroy was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.