Individual provider Active NPI

Cole Leon Ryan, DPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1184215808
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36608 Issued in FL
Practice address
1725 Heritage TRL Ste 301
Naples, FL 34112-8716
Phone
(239) 649-6848
NPI assigned
Jan 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT019012 OH
Physical Therapist 225100000X PT36608 FL Primary

Addresses

Primary practice location

1725 Heritage TRL Ste 301
Naples, FL 34112-8716

Mailing address

4449 Petal Dr Unit 202
Naples, FL 34112-6356
Phone (740) 262-4365

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231025002684 FL Practitioner - Physical Therapist in Private Practice 7719333947

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2700 W Cypress Creek Rd
Suite A108
Fort Lauderdale, FL 33309-1717

4449 Petal Dr
Unit 202
Naples, FL 34112-6350

4449 Petal Dr Unit
Suite 202
Naples, FL 34112-6356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36608FLMDPhysical Therapist
PT019012OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy and Fitness, PLLC Physical Therapist CurrentSince Sep 27, 2023 Accepting new patients
Physiotherapy Associates Inc PastSince Jan 31, 2021 Accepting new patients
Physionetics LLC Physical Therapist PastSince Oct 2, 2023 Accepting new patients

Locations

1575 Pine Ridge Rd
Ste 4
Naples, FL 34109
Phone (239) 438-1194

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": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1184215808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 PETAL DR UNIT 202",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126356",
            "telephone_number": "740-262-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 HERITAGE TRL STE 301",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341128716",
            "telephone_number": "239-649-6848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "COLE",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT019012",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.