Active NPI
Susan Ryack, PT
- Physical Therapist
- Mequon, WI
National Provider Identifier
1124229026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5456-024
- Practice address
- 10995 N Market St
Mequon, WI 53092-4952 - Phone
- (262) 478-1578
- Fax
- (262) 236-0137
- NPI assigned
- May 29, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5456-024 | WI | Primary |
Addresses
Primary practice location
10995 N Market St
Mequon, WI 53092-4952
Mailing address
5566 N Berkeley Blvd
Whitefish Bay, WI 53217-5139
Phone (414) 967-9141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5456-024 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124229026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5566 N BERKELEY BLVD",
"city": "WHITEFISH BAY",
"state": "WI",
"postal_code": "532175139",
"telephone_number": "414-967-9141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10995 N MARKET ST",
"city": "MEQUON",
"state": "WI",
"postal_code": "530924952",
"telephone_number": "262-478-1578",
"fax_number": "262-236-0137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYACK",
"first_name": "SUSAN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5456-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mequon, WI
- Richard Rozran, M.D.
- Isabella Ruddock
- Kevin P Rudny, MD
- Cynthia Marie Running, M.D.
- Heather Marie Russell
- Cathy E. Ryan, M.A.
- Stephan B. Ryan, AU.D. CCC-A
- Mikaella Sabinash, DDS
- Sacred Heart Rehabilitation Institute, Inc. (Ascension Sacred Heart Rehabilitation Hospital)
- Sacred Wandering / Sacred Path Practitioners
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.