NPIMap

Organization Active NPI

Ryan Monaco Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Utica, NY
National Provider Identifier
1336507789
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
34595 Issued in NY
Legal business name
RYAN MONACO PHYSICAL THERAPY, PLLC
Practice address
2413 State Route 5
Utica, NY 13502-7717
Phone
(315) 732-0949
Fax
(315) 732-0960
NPI assigned
Feb 1, 2016
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Dr. Ryan Mikel Debiase Monaco, PT, DPT, ATCNPI 1598035065
Title
President
Phone
(315) 292-4032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 34595 NY Primary

Addresses

Primary practice location

2413 State Route 5
Utica, NY 13502-7717

Mailing address

31 Sherrill LN
New Hartford, NY 13413-2834
Phone (315) 732-0949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160901000213 NY Part B Supplier - Clinic/Group Practice 0446546352 Receives reassigned benefits from 8 practitioners
Practice locations: Sauquoit, NY; Whitesboro, NY; Utica, NY

National Provider Directory

National Provider Directory

Locations

2860 King Rd
Sauquoit, NY 13456
Phone (315) 765-6187

2413 State Route 5
Utica, NY 13502
Phone (315) 732-0949

50 Riverside Dr
Utica, NY 13502
Phone (315) 724-2430

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1336507789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SHERRILL LN",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132834",
            "telephone_number": "315-732-0949",
            "fax_number": "315-732-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 STATE ROUTE 5",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135027717",
            "telephone_number": "315-732-0949",
            "fax_number": "315-732-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN MONACO PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "MONACO",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MIKEL DEBIASE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-292-4032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "34595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.