Individual provider Active NPI

Ryan Thomas Finucane, PT

  • Physical Therapist
  • Fairview, NJ
National Provider Identifier
1306984075
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0250751 Issued in NY
Practice address
222 Bergen Blvd Ste 8
Fairview, NJ 07022-1300
Phone
(201) 945-1156
Fax
(201) 945-0012
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X HOQA01273800 NJ
Physical Therapist 225100000X 0250751 NY Primary
Neurology Physical Therapist 2251N0400X 0250751 NY
Pediatric Physical Therapist 2251P0200X 0250751 NY
Sports Physical Therapist 2251S0007X 0250751 NY
Orthopedic Physical Therapist 2251X0800X 0250751 NY

Addresses

Primary practice location

222 Bergen Blvd Ste 8
Fairview, NJ 07022-1300

Mailing address

222 Bergen Blvd Ste 8
Fairview, NJ 07022-1300
Phone (201) 945-1156

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080402000699 NJ Practitioner - Physical Therapist in Private Practice 8628155546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Medicine Center of Fairview, LLCGroup PAC ID 0042706731, 6 clinicians

Practice addresses (Care Compare)

222 Bergen Blvd
Suite 8
Fairview, NJ 07022-1300
Phone (201) 945-1156

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HOQA01273800NJMDPhysical Therapist
0250751NYMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Rehabilitation LLC Physical Therapist CurrentSince Sep 12, 2025 Accepting new patients
Advanced Physical Medicine Center of Fairview, LLC Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients

Locations

222 Bergen Blvd
Ste 8
Fairview, NJ 07022
Phone (201) 945-1156

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1306984075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BERGEN BLVD STE 8",
            "city": "FAIRVIEW",
            "state": "NJ",
            "postal_code": "070221300",
            "telephone_number": "201-945-1156",
            "fax_number": "201-945-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BERGEN BLVD STE 8",
            "city": "FAIRVIEW",
            "state": "NJ",
            "postal_code": "070221300",
            "telephone_number": "201-945-1156",
            "fax_number": "201-945-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINUCANE",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "HOQA01273800",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0250751",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "0250751",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "0250751",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NY",
            "license": "0250751",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "0250751",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.