Individual provider Active NPI

Ryan James Fleming, MPT

  • Physical Therapist
  • Berlin, MD
National Provider Identifier
1285712620
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21359 Issued in MD
Practice address
11107 Cathage Rd Unit 101
Berlin, MD 21811-2155
Phone
(410) 749-4154
Fax
(410) 860-9583
NPI assigned
Nov 2, 2006
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0002201 DE
Physical Therapist 225100000X 21359 MD Primary

Addresses

Primary practice location

11107 Cathage Rd Unit 101
Berlin, MD 21811-2155

Mailing address

PO Box 69709
Baltimore, MD 21264-9709
Phone (410) 677-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050127001053 MD Practitioner - Physical Therapist in Private Practice 9234189101 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Orthopaedic Assoc PAGroup PAC ID 6406844406, 56 clinicians

Practice addresses (Care Compare)

600 Glen Ave
Unit 203
Salisbury, MD 21804-5250
Phone (410) 749-4154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0002201DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Physical Therapy Partners CurrentSince Jun 9, 2024 Accepting new patients
Peninsula Orthopaedic Assoc, PA Physical Therapist CurrentSince Jun 14, 2021 Accepting new patients
Peninsula Orthopaedic Assoc PA CurrentSince Jun 14, 2021 Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist Past Accepting new patients
Progressive Physical Therapy, LLC Physical Therapist PastSince Dec 6, 2020 Accepting new patients

Locations

15 Fallon Ave
Seaford, DE 19973
Phone (302) 536-1774

300 Health Services Dr
Unit 301
Seaford, DE 19973
Phone (302) 628-8568

11107 Cathage Rd
Unit 101
Ocean Pines, MD 21811
Phone (410) 641-0202

1675 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 701-3327

600 Glen Ave
Ste 203
Salisbury, MD 21804
Phone (410) 341-9535

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

Interoperability endpoints

  • Direct secure messaging: ryan.fleming.1@8254.direct.athenahealth.com

Organizations & group practices 6

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1285712620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69709",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649709",
            "telephone_number": "410-677-0700",
            "fax_number": "410-677-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11107 CATHAGE RD UNIT 101",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "218112155",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002201",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.