Active NPI
Ryan Blauer, PT, DPT
- Physical Therapist
- Great Neck, NY
National Provider Identifier
1366910200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043736
- Practice address
- 770 Middle Neck Rd
Great Neck, NY 11024-1956 - Phone
- (516) 307-8067
- Fax
- (516) 307-8069
- NPI assigned
- Nov 8, 2018
- Last updated
- Nov 8, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 043736 | NY | Primary |
Addresses
Primary practice location
770 Middle Neck Rd
Great Neck, NY 11024-1956
Mailing address
27 Foothill LN
East Northport, NY 11731-4106
Phone (631) 418-4472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
770 Middle Neck Rd
Great Neck, NY 11024-1956
Phone (516) 307-8067
Merit-based Incentive Payment System (MIPS)
- Final score
- 22.63 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 75.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043736 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bienetre Medical PC | Physical Therapist | Current | Accepting new patients |
| Health Solutions Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
Locations
99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578
Organizations & group practices 2
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.
-
- Physical Therapist
- Mineola, NY
- NPI 1992988877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1366910200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 FOOTHILL LN",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117314106",
"telephone_number": "631-418-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 MIDDLE NECK RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110241956",
"telephone_number": "516-307-8067",
"fax_number": "516-307-8069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAUER",
"first_name": "RYAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-08",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.