Individual provider Active NPI

Ryan Andrew Friend, DPT

  • Physical Therapist
  • New Bern, NC
National Provider Identifier
1104062348
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
738 Newman Rd
New Bern, NC 28562-5238
Phone
(252) 633-6099
Fax
(252) 633-4047
NPI assigned
Dec 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P-CP006289T NC
Orthopedic Physical Therapist 2251X0800X 37362 CA
Orthopedic Physical Therapist 2251X0800X 0016686 CO
Physical Therapist 225100000X Primary

Addresses

Primary practice location

738 Newman Rd
New Bern, NC 28562-5238

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

126 W Harvard St Ste 5
Fort Collins, CO 80525-5222
Phone (970) 325-3070

Other practice location 2

26941 Cabot Rd
Suite 125
Laguna Hills, CA 92653-7030
Phone (949) 273-6766

Other identifiers 2

IdentifierTypeStateIssuer
37362OtherCACA PHYSICAL THERAPY LICENSE
0016686OtherCOCO PHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210809003180 NC Practitioner - Physical Therapist in Private Practice 3476619818
I20220218000890 SC Practitioner - Physical Therapist in Private Practice 3476619818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

103 N Main St
Suite 201
Greenville, SC 29601-2756
Phone (864) 528-5753

2 Doctors Dr
Greenville, SC 29605-4265
Phone (864) 797-7320

569 Roe Ctr CT
Suite 200
Travelers Rest, SC 29690-1998
Phone (864) 660-8200

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
90
Improvement activities
40
Cost
75.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11070SCMDClinical Social Worker
37362CAMDPlastic Surgery Physician
0016686COMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body Evolution Physical Therapy & Wellness, LLC Physical Therapist Current Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jan 7, 2022 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Jan 7, 2022 Accepting new patients
Nosek & Associates Physical Therapy Inc Physical Therapist PastSince Apr 2, 2006 Accepting new patients
Prisma Health University Medical Group Past Accepting new patients
University Physicians of Brooklyn, Inc. Past Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

2 Doctors Dr
Greenville, SC 29605
Phone (864) 558-8955

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

36 S Main St
Ste B
Travelers Rest, SC 29690
Phone (864) 660-8200

Organizations & group practices 6

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": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1104062348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 NEWMAN RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625238",
            "telephone_number": "252-633-6099",
            "fax_number": "252-633-4047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 W Harvard St Ste 5",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805255222",
            "country_code": "US",
            "telephone_number": "970-325-3070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26941 Cabot Rd",
            "address_2": "Suite 125",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926537030",
            "country_code": "US",
            "telephone_number": "949-273-6766",
            "fax_number": "949-273-6765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEND",
        "first_name": "RYAN",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-17",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P-CP006289T",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "37362",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "0016686",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PHYSICAL THERAPY LICENSE",
            "identifier": "37362",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO PHYSICAL THERAPY LICENSE",
            "identifier": "0016686",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.