Active NPI
Ryan P Coyle, DPT
- Physical Therapist
- Tamarac, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36921
- Practice address
- 5901 NW 79TH Ave
Tamarac, FL 33321-4639 - Phone
- (954) 722-7001
- NPI assigned
- Feb 13, 2020
- Last updated
- Mar 15, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH9796 | AL | |
| Physical Therapist | 225100000X | PT36921 | FL | Primary |
Addresses
Primary practice location
5901 NW 79TH Ave
Tamarac, FL 33321-4639
Mailing address
8205 Presidents Dr
Hummelstown, PA 17036-8621
Phone (717) 839-2188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
357 Buckelew Ave
Monroe, NJ 08831-2961
Phone (732) 521-1194
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.72 of 100
- Quality
- 93.63
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 69.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH9796 | AL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Varsha Pohuja LLC | Physical Therapist | Current | Accepting new patients |
| New Way Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
| Drayer Physical Therapy Mississippi LLC | Physical Therapist | Past | Accepting new patients |
Locations
5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627
5401 W Kennedy Blvd
Ste 100
Tampa, FL 33609
Phone (813) 323-1959
357 Buckelew Ave
Monroe Twp, NJ 08831
Phone (732) 521-1194
Organizations & group practices 4
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.
-
dba Shivaya Rehabilitation
- Rehabilitation Clinic/Center
- Long Branch, NJ
- NPI 1295281699
Physical Therapist
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
- Physical Therapist
- Crystal Springs, MS
- NPI 1801333521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1346873791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8205 PRESIDENTS DR",
"city": "HUMMELSTOWN",
"state": "PA",
"postal_code": "170368621",
"telephone_number": "717-839-2188",
"fax_number": "717-565-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 NW 79TH AVE",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333214639",
"telephone_number": "954-722-7001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COYLE",
"first_name": "RYAN",
"middle_name": "P",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-13",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH9796",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.