Ryan Baksh, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA33562 Issued in FL

Practice address

10560 SW Village Pkwy
Port Saint Lucie, FL 34987-2359

Phone

(772) 446-0203

NPI assigned

Apr 20, 2026

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)

Not enrolled

State licenses

Practice roles

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.

• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1417067844

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1104760065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 SW LAWNDALE AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349537714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 SW VILLAGE PKWY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872359",
            "telephone_number": "772-446-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKSH",
        "first_name": "RYAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA33562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua James Bailey
• Elizabeth Marian Baize, OWNER
• Cara Baker
• Juliana Baker, RBT
• Fady Bakhet
• Alice Darlene Bancroft, LCSW
• Viven Banks
• Banyan Dental SVC PSL, LLC
• Jason Barela
• Matilde Teresa Barksdale

• Physical Therapy Assistant in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.