Individual provider Active NPI

Ryan J Harty

  • Physical Therapist
  • Tacoma, WA
National Provider Identifier
1083382873
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
15703 Pacific Ave S Ste B
Tacoma, WA 98444-4675
Phone
(253) 531-4100
Fax
(253) 531-3795
NPI assigned
Sep 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WA
Orthopedic Physical Therapist 2251X0800X 000025728 MA
Physical Therapist 225100000X Primary

Addresses

Primary practice location

15703 Pacific Ave S Ste B
Tacoma, WA 98444-4675

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other practice location 1

7 Reservoir Rd
Beverly, MA 01915-5501
Phone (978) 524-0333

Other practice location 2

1065 E Tucson Marketplace Blvd Ste 155
Tucson, AZ 85713-6563
Phone (520) 822-8640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, WA, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220711000532 MA Practitioner - Physical Therapist in Private Practice 9739569567 Reassigns benefits to 1 organization
I20230914002712 WA Practitioner - Physical Therapist in Private Practice 9739569567 Reassigns benefits to 1 organization
I20231228003295 TX Practitioner - Physical Therapist in Private Practice 9739569567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Rehabilitation of Western New England LLCGroup PAC ID 7911979950, 201 clinicians

Practice addresses (Care Compare)

101 University Dr
Suite A6
Amherst, MA 01002-2385
Phone (413) 336-5703

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000025728MAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC CurrentSince Jan 2, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Sep 18, 2023 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Jan 2, 2024 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist Current Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 12, 2024 Accepting new patients
Ideal Rehabilitation LLC Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

6 Grove St
Norwell, MA 02061
Phone (781) 878-7455

75 Spring St
Unit 200
West Roxbury, MA 02132

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

379 E FM 1382
Ste 100
Cedar Hill, TX 75104
Phone (972) 460-4490

607 S Cedar Ridge Dr
Unit 102
Duncanville, TX 75137
Phone (214) 742-8560

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330

32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852

130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300

6985 Coal Creek Pkwy SE
Newcastle, WA 98059
Phone (425) 378-0500

15703 Pacific Ave S
#B
Tacoma, WA 98444
Phone (253) 531-4100

Organizations & group practices 8

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": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1083382873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15703 PACIFIC AVE S STE B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444675",
            "telephone_number": "253-531-4100",
            "fax_number": "253-531-3795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Reservoir Rd",
            "address_purpose": "LOCATION",
            "city": "Beverly",
            "state": "MA",
            "postal_code": "019155501",
            "country_code": "US",
            "telephone_number": "978-524-0333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1065 E Tucson Marketplace Blvd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857136563",
            "country_code": "US",
            "telephone_number": "520-822-8640",
            "fax_number": "520-822-8641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTY",
        "first_name": "RYAN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-06",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "000025728",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.