Shaden Ghattas Ryglewicz, D.P.T

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

028157 Issued in NY

Practice address

221 E Main St
Huntington, NY 11743-2924

Phone

(631) 533-2888

NPI assigned

Sep 1, 2006

Last updated

Mar 31, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shaden Ghattas Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Universus Physical Therapy PLLCGroup PAC ID 5193980159, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Universus Physical Therapy PLLC

  • Physical Therapist
  • Huntington, NY
  • NPI 1124394457

  Orthopedic

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1306948450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RAYNHAM DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913909",
            "telephone_number": "516-532-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432924",
            "telephone_number": "631-533-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYGLEWICZ",
        "first_name": "SHADEN",
        "middle_name": "GHATTAS",
        "name_prefix": "Ms.",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "028157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "028157",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHADEN",
            "last_name": "GHATTAS",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ana Ruzic, MS, BCBA, LBA
• RX Express Prescription Services Inc. (RX Express Pharmacy and Surgical of East Northport)
• Jennifer Leigh Ryan
• Rosemary McNicholas Ryan, LMSW
• Norbert Jack Ryglewicz, MSPT
• Robert M Sachs, D.D.S.
• Jeni Elizabeth Sacklow, DO
• Andrea L Sacknoff, MD
• David M Sacknoff, MD
• Anne C Sacks-Berg, M.D.

• Orthopedic Physical Therapist in Huntington, NY
• Providers in Huntington, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.