Active NPI
Ryan Landy, P.T.
- Physical Therapist
- Stockbridge, GA
National Provider Identifier
1184795254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004530
- Practice address
- 1508 Rock Quarry Rd
Stockbridge, GA 30281-5047 - Phone
- (770) 507-3233
- Fax
- (770) 507-4118
- NPI assigned
- Nov 12, 2006
- Sex
- Male
- 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 | 004530 | GA | Primary |
Addresses
Primary practice location
1508 Rock Quarry Rd
Stockbridge, GA 30281-5047
Mailing address
700 Park Regency PL NE
1004
Atlanta, GA 30326-1271
Phone (404) 353-7759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 428852177A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1508 Rock Quarry Rd
Stockbridge, GA 30281-5047
Phone (770) 507-3233
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004530 | GA | MD | Physical Therapist |
Organizations & group practices 1
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.
-
- Physical Therapist
- Stockbridge, GA
- NPI 1912272303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319414400000",
"number": "1184795254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 PARK REGENCY PL NE",
"address_2": "1004",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303261271",
"telephone_number": "404-353-7759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 ROCK QUARRY RD",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815047",
"telephone_number": "770-507-3233",
"fax_number": "770-507-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDY",
"first_name": "RYAN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-12",
"last_updated": "2011-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "004530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "428852177A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.