Individual provider Active NPI

Ryan Kalman, PT

  • Physical Therapist
  • West Springfield, MA
National Provider Identifier
1093803835
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11830 Issued in MA
Practice address
1111 Elm St
Suite 33
West Springfield, MA 01089-1540
Phone
(413) 526-9969
Fax
(413) 526-9960
NPI assigned
Oct 10, 2006
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11830 MA Primary

Addresses

Primary practice location

1111 Elm St
Suite 33
West Springfield, MA 01089-1540

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other identifiers 25

IdentifierTypeStateIssuer
11222892OtherMACAQH
043527497OtherMAPIONEER
690675OtherMATUFTS GROUP NO.
P00194754OtherMAPALMETTO RAILROAD MEDICARE
Y67756OtherMABC BS INDIVIDUAL NO.
000000035332OtherMABOSTON MEDICAL HEALTH NET INDIVIDUAL NO.
0329819MedicaidMA
043527497OtherMACONNECTICARE
043527497OtherMACONSOLIDATED
467738OtherMATUFTS INDIVIDUAL NO.
Y61264OtherMABC BS GROUP NO.
043527497OtherMAGREATWEST
7072252OtherMAAETNA INDIVIDUAL NO.
972730OtherMANETWORK HEALTH GROUP NO.
000000035257OtherMABOSTON MEDICAL HEALTH NET GROUP NO.
043527497OtherMADEPARTMENT OF LABOR
28117OtherMAHEALTH NEW ENGLAND
043527497OtherMACIGNA GROUP NO.
9715568MedicaidMA
043527497OtherMAAETNA GROUP NO.
043527497OtherMAUNICARE/GIC
043527497OtherMAUNITED HEALTHCARE
043527497OtherMANORTH REGION/TRICARE
080011830MA01OtherANTHEM BC BS
6118324OtherMACIGNA INDIVIDUAL NO.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041115000144 MA Practitioner - Physical Therapist in Private Practice 6305800921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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
85.19 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
006407CTMDClinical Social Worker
11830MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 3, 2000 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 3, 2000 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Past Accepting new patients
Integrated Rehabilitation Services, LLC Physical Therapist PastSince Jan 9, 2004 Accepting new patients
Integrated Rehabilitation Services Limited Partnership Physical Therapist PastSince Aug 28, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

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

168 Denslow Rd
East Longmeadow, MA 01028
Phone (413) 526-9924

300 Birnie Ave
Springfield, MA 01107
Phone (413) 736-5649

1111 Elm St
Ste 33
West Springfield, MA 01089
Phone (413) 781-1054

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1093803835",
    "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": "1111 ELM ST",
            "address_2": "SUITE 33",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891540",
            "telephone_number": "413-526-9969",
            "fax_number": "413-526-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALMAN",
        "first_name": "RYAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11222892",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIONEER",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP NO.",
            "identifier": "690675",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD MEDICARE",
            "identifier": "P00194754",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS INDIVIDUAL NO.",
            "identifier": "Y67756",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL HEALTH NET INDIVIDUAL NO.",
            "identifier": "000000035332",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0329819",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONSOLIDATED",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS INDIVIDUAL NO.",
            "identifier": "467738",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS GROUP NO.",
            "identifier": "Y61264",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATWEST",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INDIVIDUAL NO.",
            "identifier": "7072252",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH GROUP NO.",
            "identifier": "972730",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL HEALTH NET GROUP NO.",
            "identifier": "000000035257",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "28117",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP NO.",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9715568",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA GROUP NO.",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE/GIC",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH REGION/TRICARE",
            "identifier": "043527497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "080011830MA01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA INDIVIDUAL NO.",
            "identifier": "6118324",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.