Individual provider Active NPI

Ellen Louise Ryan, P.T.

  • Physical Therapist
  • Monroe, NY
National Provider Identifier
1205024056
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00813600 Issued in NJ
Practice address
277 Harriman Heights Rd
Monroe, NY 10950-3625
Phone
(845) 238-3019
NPI assigned
Oct 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 40QA00813600 NJ Primary

Addresses

Primary practice location

277 Harriman Heights Rd
Monroe, NY 10950-3625

Mailing address

277 Harriman Heights Rd
Monroe, NY 10950-3625
Phone (845) 238-3019

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707002843 NJ Practitioner - Physical Therapist in Private Practice 4587178165 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Outpatient Services, Inc. CurrentSince Jun 5, 2025 Accepting new patients
Hackensack Meridian Outpatient Services, Inc. Physical Therapist CurrentSince Jun 5, 2025 Accepting new patients

Locations

1180 Raritan Rd
Clark, NJ 07066
Phone (848) 308-4515

Organizations & group practices 2

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": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1205024056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 HARRIMAN HEIGHTS RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503625",
            "telephone_number": "845-238-3019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 HARRIMAN HEIGHTS RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503625",
            "telephone_number": "845-238-3019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ELLEN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-05",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00813600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.