Individual provider Active NPI

Ryan Butz, DPT

  • Orthopedic Physical Therapist
  • Royal Palm Beach, FL
National Provider Identifier
1003411380
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
36473 Issued in FL
Practice address
106 Ponce de Leon St # 1213
Royal Palm Beach, FL 33411-1213
Phone
(561) 791-9090
NPI assigned
Dec 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 36473 FL Primary

Addresses

Primary practice location

106 Ponce de Leon St # 1213
Royal Palm Beach, FL 33411-1213

Mailing address

106 Ponce de Leon St # 1213
Royal Palm Beach, FL 33411-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201215000148 FL Practitioner - Physical Therapist in Private Practice 8921410028 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36473FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Action Physical Therapy, LLC CurrentSince Nov 30, 2020 Accepting new patients
Action Physical Therapy, LLC Orthopedic Current Accepting new patients
Action Physical Therapy, LLC CurrentSince Nov 30, 2020 Accepting new patients
DRVN Physical Therapy & Wellness, LLC Orthopedic CurrentSince Apr 1, 2021 Accepting new patients
Saylor Physical Therapy of Palm Beach Gardens LLC Orthopedic CurrentSince Dec 11, 2020 Accepting new patients

Locations

4971 Le Chalet Blvd
Ste 100
Boynton Beach, FL 33436
Phone (561) 733-5590

1001 N US Highway 1
Ste 102
Jupiter, FL 33477
Phone (561) 277-9011

106 Ponce de Leon St
Royal Palm Beach, FL 33411
Phone (561) 236-3741

106 Ponce de Leon St
#1213
Royal Palm Beach, FL 33411

300 Avenue of the Champions
Ste 100
West Palm Beach, FL 33418
Phone (561) 223-3872

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1003411380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PONCE DE LEON ST # 1213",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PONCE DE LEON ST # 1213",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334111213",
            "telephone_number": "561-791-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTZ",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "36473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.