Stephen Daniel Ryan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15286 Issued in MD

Practice address

1190 Mount Aetna Rd
Hagerstown, MD 21740-6833

Phone

(301) 797-4572

Fax

(301) 797-4863

NPI assigned

Sep 23, 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

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ryan Physical Therapy Associates

  • Clinic/Center
  • Hagerstown, MD
  • NPI 1932249422

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1255327359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 MOUNT AETNA RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406833",
            "telephone_number": "301-797-4572",
            "fax_number": "301-797-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 MOUNT AETNA RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406833",
            "telephone_number": "301-797-4572",
            "fax_number": "301-797-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "STEPHEN",
        "middle_name": "DANIEL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "934400400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Forrest Rutherford, LCSWC MSSW
• Amber Rutkowski, CRNP
• Ryan Physical Therapy Associates
• Deborah Jean Ryan, PT, DPT
• Jacqueline Ryan, MD
• George P Saba II, M.D.
• Sarah Sabol, MS
• Stephen Mark Sachs, MD
• Safe Haven Counseling
• Sage Physical Therapy & Wellness LLC

• Physical Therapist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.