Individual Healthcare Provider
Mary Kathryn Ryan, PA-C, ATL
Provider's NPPES record last updated: October 26, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1083038582
- Primary Specialty
- Physician Assistant — Surgical
- Practice Location
- Renton, Washington
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 4:50 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Physician Assistant
Surgical
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363AS0400X Specialist/Technologist
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Taxonomy code 2255A2300X
Provider-Reported License Information
- Physician Assistant (Washington)
- PA61227531
- Specialist/Technologist (Michigan)
- 2601001845
Practice Locations
Practice Location
4011 Talbot Rd S Ste 300
Renton, Washington 98055-5791
Phone: (425) 656-5060
Additional Practice Location
150 Andover Park W
Tukwila, Washington 98188-2801
Phone: (425) 979-2663
Fax: (425) 524-4447
Additional Practice Location
1620 Lake Tapps Pkwy Se Ste 115
Auburn, Washington 98092-8376
Phone: (253) 246-2860
Fax: (253) 246-2861
Additional Practice Location
27005 168th Pl Se Ste 201
Covington, Washington 98042-4902
Phone: (253) 630-3660
Fax: (253) 631-1591
Additional Practice Location
24060 Se Kent Kangley Rd Ste D-100
Maple Valley, Washington 98038-6851
Phone: (425) 358-7708
Fax: (425) 656-5047
Record Information
- Enumeration Date
- February 5, 2014
- Provider's NPPES Record Last Updated
- October 26, 2021
- Certification Date
- October 26, 2021
- NPISignal NPPES Dataset
- August 2026
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