Ryan Telian, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047799 Issued in NY

Practice address

3 Springhurst Dr
East Greenbush, NY 12061-2261

Phone

(518) 479-7172

Fax

(518) 286-3798

NPI assigned

Oct 25, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1073277281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SPRINGHURST DR",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612261",
            "telephone_number": "518-479-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SPRINGHURST DR",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612261",
            "telephone_number": "518-479-7172",
            "fax_number": "518-286-3798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2827 ROUTE 9",
            "address_purpose": "LOCATION",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121841218",
            "country_code": "US",
            "telephone_number": "518-758-7616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELIAN",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Amy Sweet, LCSW-R
• Victoria Tallman
• Alwin Yan Liang Tan, PHARMD
• Mark Alan Tatar, PH.D.
• Jillian U Taylor, DPT
• Thomas Nicolla (Nicolla Physical Therapy of East Greenbush)
• Amanda Thompson
• Nicole Thompson
• Lamionna Threatt
• Julie Tilt

• Physical Therapist in East Greenbush, NY
• Providers in East Greenbush, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.