Active NPI
Ryan Thomas Finucane, PT
- Physical Therapist
- Fairview, NJ
National Provider Identifier
1306984075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0250751
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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, LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| HOQA01273800 | NJ | MD | Physical Therapist |
| 0250751 | NY | MD | Neurology Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebound Physical Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Medicine Center of Fairview, LLC | Physical Therapist | Current | 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.
-
- Chiropractor
- Fairview, NJ
- NPI 1538038716
NJ, Physical Therapist
-
- Physical Therapist
- Ridgewood, NJ
- NPI 1154293033
NJ, Physical Therapist
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.