Active NPI
Judith T. Ryan, P.T.
- Physical Therapist
- Howell, NJ
National Provider Identifier
1356360994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- QAO4551
- Practice address
- 301 Candlewood Commons
Howell, NJ 07731-2170 - Phone
- (732) 370-4755
- Fax
- (732) 364-6099
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | QAO4551 | NJ | Primary |
Addresses
Primary practice location
301 Candlewood Commons
Howell, NJ 07731-2170
Mailing address
301 Candlewood Commons
Howell, NJ 07731-2170
Phone (732) 370-4755
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223182569 | Other | NJ | TAXPAYER IDENTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| QAO4551 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1356360994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CANDLEWOOD COMMONS",
"city": "HOWELL",
"state": "NJ",
"postal_code": "077312170",
"telephone_number": "732-370-4755",
"fax_number": "732-364-6099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CANDLEWOOD COMMONS",
"city": "HOWELL",
"state": "NJ",
"postal_code": "077312170",
"telephone_number": "732-370-4755",
"fax_number": "732-364-6099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "JUDITH",
"middle_name": "T.",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "QAO4551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXPAYER IDENTIFICATION",
"identifier": "223182569",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Howell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.