Active NPI
Carey Ryan, PT
- Physical Therapist
- Saint Clair Shores, MI
National Provider Identifier
1023340122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501010800
- Practice address
- 24345 Harper Ave
Saint Clair Shores, MI 48080-1285 - Phone
- (586) 563-3300
- Fax
- (586) 563-3313
- NPI assigned
- Feb 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501010800 | MI | Primary |
Addresses
Primary practice location
24345 Harper Ave
Saint Clair Shores, MI 48080-1285
Mailing address
21700 Sunnydale St
Saint Clair Shores, MI 48081-2804
Phone (586) 350-5513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24345 Harper Ave
Saint Clair Shores, MI 48080-1285
Phone (586) 563-3300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Medicine, P.C. | Current | Accepting new patients | |
| The Recovery Project, LLC | Physical Therapist | Past | Accepting new patients |
Locations
24345 Harper Ave
St Clr Shores, MI 48080
Phone (586) 563-3300
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GFFBAA/Endpoint/GFFBAA
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Saint Clair Shores, MI
- NPI 1932129319
-
- Physical Therapist
- Livonia, MI
- NPI 1528137858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1023340122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21700 SUNNYDALE ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480812804",
"telephone_number": "586-350-5513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24345 HARPER AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801285",
"telephone_number": "586-563-3300",
"fax_number": "586-563-3313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "CAREY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501010800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.