John Gage Ryder, MS, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004414 Issued in WV

Practice address

1605 Grand Central Ave
Vienna, WV 26105-1081

Phone

(304) 295-7290

Fax

(304) 295-5922

NPI assigned

Sep 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

West Virginia University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Natalie L Cooke LLCGroup PAC ID 4082911268, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Natalie L Cooke LLC

  • Physical Therapist
  • Vienna, WV
  • NPI 1891160677
  Medicare reassignment Care Compare group NPD
• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Parkersburg, WV
  • NPI 1437754157

  Physical Therapist

  Medicare reassignment NPD
• Mountain River Physical Therapy Specialists LLC

  • Physical Therapy Clinic/Center
  • Ocala, FL
  • NPI 1528663283

  Physical Therapist

  NPD
• Riverview Health Clinic, PLLC

  • Chiropractor
  • Vienna, WV
  • NPI 1417053042

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667606400000",
    "number": "1306364617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GRAND CENTRAL AVE",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051081",
            "telephone_number": "304-295-7290",
            "fax_number": "304-295-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 GRAND CENTRAL AVE",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261051081",
            "telephone_number": "304-295-7290",
            "fax_number": "304-295-5922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Pine Dr",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "WV",
            "postal_code": "252419739",
            "country_code": "US",
            "telephone_number": "304-531-0999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYDER",
        "first_name": "JOHN",
        "middle_name": "GAGE",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-07",
        "last_updated": "2022-11-05",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "2000020739",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT004414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356766059",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Roton
• Stephen T. Roush, DC
• Samantha Rowe
• Kendra Rush
• Dasia Russell
• Sara Sabo, DPT
• Mariah Katherine Safko, PHARMD
• Amity Salyers
• Sam'S Club Optical
• Sams East Inc

• Physical Therapist in Vienna, WV
• Providers in Vienna, WV by specialty
• Physical Therapist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2022; 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.