John Gerald Rydeski, PT, MOMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2872 Issued in WI

Practice address

1111 Delafield St
Suite 120
Waukesha, WI 53188-3417

Phone

(262) 521-9762

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1255313888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 120",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883417",
            "telephone_number": "262-521-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDESKI",
        "first_name": "JOHN",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "PT, MOMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40143000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Rustler, LPC
• Carla Ranae Rutherford, RN
• James L Rutherford, M.D.
• Rachel Elaine Rutledge, PA
• Jolynn Kay Ruud, CSW
• Ashley Rydquist-Acker, NP-C
• Shalimar Jenae Rydzik
• Katelyn Ryman, NP
• David J. Rypkema, M.D.
• Angela Jean Sadler, CAPSW

• Physical Therapist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.