Individual provider Active NPI

Ryan Chamberlain, DPT

  • Physical Therapist
  • Chesapeake, VA
National Provider Identifier
1245088178
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216370 Issued in VA
Practice address
1412 Greenbrier Pkwy Ste 134
Chesapeake, VA 23320-2834
Phone
(757) 609-0600
NPI assigned
May 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 2305216370 VA Primary

Addresses

Primary practice location

1412 Greenbrier Pkwy Ste 134
Chesapeake, VA 23320-2834

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

1016 First Colonial Rd
Virginia Beach, VA 23454-3073
Phone (757) 481-4066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905004326 VA Practitioner - Physical Therapist in Private Practice 0446790331 Reassigns benefits to 3 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
Atlantic Physical Therapy PCGroup PAC ID 9931208683, 4 clinicians
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians
Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

1016 1St Colonial Rd
Virginia Beach, VA 23454-3073
Phone (757) 481-4066

1412 Greenbrier Pkwy
Suite 134
Chesapeake, VA 23320-2834
Phone (757) 609-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Physical Therapy PC Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 22, 2025 Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Sep 22, 2025 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2026 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2026 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

1412 Greenbrier Pkwy
Ste 134
Chesapeake, VA 23320
Phone (757) 609-0600

6330 Newtown Rd
Ste 100
Norfolk, VA 23502
Phone (757) 466-4401

1016 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 481-4066

4625 Virginia Beach Blvd
Ste 103
Virginia Beach, VA 23462
Phone (757) 600-5999

Organizations & group practices 9

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": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1245088178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200",
            "fax_number": "410-648-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 GREENBRIER PKWY STE 134",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202834",
            "telephone_number": "757-609-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 First Colonial Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543073",
            "country_code": "US",
            "telephone_number": "757-481-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-07",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.