Individual provider Active NPI

Jeffrey W Ryg, PT, DPT

  • Orthopedic Physical Therapist
  • Boulder, CO
National Provider Identifier
1346367091
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PTL-11707 Issued in CO
Practice address
5387 Manhattan Cir
Suite 100a
Boulder, CO 80303-4284
Phone
(303) 543-7878
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PTL-11707 CO Primary

Addresses

Primary practice location

5387 Manhattan Cir
Suite 100a
Boulder, CO 80303-4284

Mailing address

5387 Manhattan Cir
Suite 100a
Boulder, CO 80303-4284
Phone (303) 543-7878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000767 CO Practitioner - Physical Therapist in Private Practice 4688774318 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL-11707COMDOrthopedic Physical Therapist

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10587/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1346367091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5387 MANHATTAN CIR",
            "address_2": "SUITE 100A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034284",
            "telephone_number": "303-543-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5387 MANHATTAN CIR",
            "address_2": "SUITE 100A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034284",
            "telephone_number": "303-543-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYG",
        "first_name": "JEFFREY",
        "middle_name": "W",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "PTL-11707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.