Ryan Sanders Gary, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501016584 Issued in MI

Practice address

1331 Lake Dr SE
Suite 105
Grand Rapids, MI 49506-1674

Phone

(616) 248-9842

Fax

(616) 248-9848

NPI assigned

Dec 5, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Good Life Therapy LLCGroup PAC ID 0345562187, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Good Life Therapy LLC

  • Physical Therapy Clinic/Center
  • Grand Rapids, MI
  • NPI 1598169682

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• 1St Physical Therapy Inc

  • Physical Therapist
  • Middleville, MI
  • NPI 1851857882
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003247891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 LAKE DR SE STE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061674",
            "telephone_number": "616-248-9842",
            "fax_number": "616-248-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 LAKE DR SE",
            "address_2": "SUITE 105",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061674",
            "telephone_number": "616-248-9842",
            "fax_number": "616-248-9848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 E Beltline Ave SE Ste J",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495465987",
            "country_code": "US",
            "telephone_number": "616-248-9842",
            "fax_number": "616-248-9848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARY",
        "first_name": "RYAN",
        "middle_name": "SANDERS",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-05",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012446",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501016584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rae Garvison, OTD, OTR/L
• Lisa Garwood, PA-C
• Gary W Bailey DO PC
• Ashley Gary, PA-C
• Monica Lane Gary, MD
• Anthony Joaquin Garza-Kukla
• Angalee Santos Garza
• Ashlie Rae Garza
• Maureen Garza, MSOT, MAT
• Rudolph Garza, PLC

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.