Individual provider Active NPI

Ryan M Cavanaugh, DPT

  • Physical Therapist
  • Duncansville, PA
National Provider Identifier
1114259801
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020399 Issued in PA
Practice address
254 Convention Center Dr
Duncansville, PA 16635-8244
Phone
(814) 788-2553
Fax
(814) 788-2553
NPI assigned
Feb 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 PT020399 PA Primary

Addresses

Primary practice location

254 Convention Center Dr
Duncansville, PA 16635-8244

Mailing address

4750 Lindle Rd Ste 100
Harrisburg, PA 17111-2428
Phone (717) 803-3342

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000326 PA Practitioner - Physical Therapist in Private Practice 1658407408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHM Physical Therapy Institute LLCGroup PAC ID 2062873151, 76 clinicians

Practice addresses (Care Compare)

254 Convention Ctr Dr
Duncansville, PA 16635-8244
Phone (814) 788-2553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT020399PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
LHM Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients
LHM Physical Therapy Institute LLC Physical Therapist CurrentSince Dec 16, 2024 Accepting new patients

Locations

254 Convention Center Dr
Duncansville, PA 16635
Phone (814) 788-2553

4750 Lindle Rd
Ste 100
Harrisburg, PA 17111
Phone (717) 803-3342

558 Shrewsbury Commons Ave
Shrewsbury, PA 17361
Phone (717) 803-3344

Organizations & group practices 3

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": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1114259801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 LINDLE RD STE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171112428",
            "telephone_number": "717-803-3342",
            "fax_number": "717-974-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CONVENTION CENTER DR",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166358244",
            "telephone_number": "814-788-2553",
            "fax_number": "814-788-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "RYAN",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncansville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.