Individual provider Active NPI

Ryan Nied, PT

  • Physical Therapist
  • New Richmond, WI
National Provider Identifier
1164901138
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14351-24 Issued in WI
Practice address
471 S Arch Ave
New Richmond, WI 54017-1832
Phone
(715) 246-3809
NPI assigned
Aug 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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 14351-24 WI Primary

Addresses

Primary practice location

471 S Arch Ave
New Richmond, WI 54017-1832

Mailing address

414 S Division St Apt 8
Roberts, WI 54023-9610
Phone (779) 537-4175

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240927001010 WA Practitioner - Physical Therapist in Private Practice 9436409679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapy Management Services PLLCGroup PAC ID 0143500983, 107 clinicians

Practice addresses (Care Compare)

17020 Twin Lakes Ave
Suite C101
Marysville, WA 98271-4731
Phone (360) 658-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients
Therapy Management Services, PLLC Physical Therapist CurrentSince Aug 16, 2024 Accepting new patients
Therapy Management Services, PLLC Physical Therapist Current Accepting new patients
Therapy Management Services, PLLC Physical Therapist Past Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

275 SW 160th St
Ste 201
Burien, WA 98166
Phone (206) 244-4263

15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855

19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991

17020 Twin Lakes Ave
Ste C101
Marysville, WA 98271
Phone (360) 658-8400

Organizations & group practices 4

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1164901138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S DIVISION ST APT 8",
            "city": "ROBERTS",
            "state": "WI",
            "postal_code": "540239610",
            "telephone_number": "779-537-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 S ARCH AVE",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171832",
            "telephone_number": "715-246-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIED",
        "first_name": "RYAN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14351-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Richmond, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.