Meghan Ryan Physical Therapy, PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029682 Issued in NY

Legal business name

MEGHAN RYAN PHYSICAL THERAPY, PC

Doing business as

Montauk Physical Therapy

Practice address

240 Edgemere St
RM 202
Montauk, NY 11954-5144

Phone

(631) 668-1372

Fax

(631) 668-1374

NPI assigned

Jul 17, 2014

Organization subpart

No

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

Authorized official

Name

Meghan Ryan, DPT

Title

President

Phone

(631) 668-1372

Specialties & licenses 1

Addresses

Other names 1

• Montauk Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1336556612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 EDGEMERE ST",
            "address_2": "RM 202",
            "city": "MONTAUK",
            "state": "NY",
            "postal_code": "119545144",
            "telephone_number": "631-668-1372",
            "fax_number": "631-668-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EDGEMERE ST",
            "address_2": "RM 202",
            "city": "MONTAUK",
            "state": "NY",
            "postal_code": "119545144",
            "telephone_number": "631-668-1372",
            "fax_number": "631-668-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGHAN RYAN PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-668-1372",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montauk Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Montauk, NY
• Providers in Montauk, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.