Active NPI
Ryan William Liss, PT, DPT, CSCS
- Physical Therapist
- Boca Raton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41612
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 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, NJ
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT41612 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| Progression Physical Therapy of Princeton | Current | Accepting new patients | |
| Ivyrehab Network Inc. | Physical Therapist | Current | 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.
-
- Physical Therapy Clinic/Center
- Princeton, NJ
- NPI 1598084972
-
- Physical Therapist
- Miami, FL
- NPI 1801209002
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
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.