Individual provider Active NPI

Ryan William Liss, PT, DPT, CSCS

  • Physical Therapist
  • Boca Raton, FL
National Provider Identifier
1225868193
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT41612 Issued in FL
Practice address
2900 N Military TRL Ste 220
Boca Raton, FL 33431-6308
Phone
(561) 923-8292
NPI assigned
Aug 6, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 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 PT41612 FL Primary

Addresses

Primary practice location

2900 N Military TRL Ste 220
Boca Raton, FL 33431-6308

Mailing address

2900 N Military TRL Ste 220
Boca Raton, FL 33431-6308
Phone (561) 923-8292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240828005238 FL Practitioner - Physical Therapist in Private Practice 9032658471 Reassigns benefits to 1 organization
I20250407001170 NJ Practitioner - Physical Therapist in Private Practice 9032658471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progression Physical Therapy of PrincetonGroup PAC ID 3577752682, 5 clinicians

Practice addresses (Care Compare)

601 Ewing St
Suite B9
Princeton, NJ 08540-2755
Phone (609) 454-3536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT41612FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Physical Therapy Inc. Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Ivyrehab Network, Inc. Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Progression Physical Therapy of Princeton CurrentSince Sep 20, 2025 Accepting new patients
Ivyrehab Network Inc. Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients

Locations

2900 N Military Trl
Ste 220
Boca Raton, FL 33431
Phone (561) 997-8865

19 SW 6th St
Miami, FL 33130
Phone (305) 615-3060

162 NE 25th St
Ste 103
Miami, FL 33137
Phone (305) 735-8901

100 Reaville Ave
Flemington, NJ 08822
Phone (908) 838-9937

731 Lacey Rd
Ste 3
Forked River, NJ 08731
Phone (609) 242-6780

454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905

601 Ewing St
Ste B9
Princeton, NJ 08540
Phone (609) 454-3536

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1225868193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316308",
            "telephone_number": "561-923-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N MILITARY TRL STE 220",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316308",
            "telephone_number": "561-923-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISS",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.