Michael D. Ryan, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01148000 Issued in NJ

Practice address

23-00 Route 208
Fair Lawn, NJ 07410

Phone

(201) 796-1138

Fax

(201) 796-7484

NPI assigned

Sep 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DMR RehabilitationGroup PAC ID 4183928070, 3 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.

• DMR Rehabilitation

  • Physical Therapy Clinic/Center
  • Fair Lawn, NJ
  • NPI 1043682099

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Kipnis Orthopaedic Rehab of Secaucus LLC

  dba Kipnis Rehab of Secaucus LLC

  • Physical Therapist
  • Secaucus, NJ
  • NPI 1265484331
  NPD (past)
• Kipnis Orthopaedic Rehabilitation Institute PC

  • Physical Therapist
  • Cliffside Park, NJ
  • NPI 1760434104
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316049612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-00 ROUTE 208",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-796-1138",
            "fax_number": "201-796-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-00 ROUTE 208",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-796-1138",
            "fax_number": "201-796-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MICHAEL",
        "middle_name": "D.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01148000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vytas Rudys
• Barbara Ruggieri, M.S.W., L.S.W.
• Michelle Lori Ruggiero
• Garrett Rumsby, DPT
• Daniel T. Ryan, P.T.
• Christopher L Rzengota, MA, LAC
• Rita Rzhavinsky
• S. Jakob Mahler Psychology Group
• S. Jakob Mahler Psychology Group LLC
• Alexandra Sack, L.AC.

• Physical Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.