Individual provider Active NPI

Montana Christy Kim Ryzuk, OTR/L

  • Occupational Therapist
  • Mt Pleasant, SC
National Provider Identifier
1386314532
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6268 Issued in SC
Practice address
1885 Rifle Range Rd
Mt Pleasant, SC 29464-9440
Phone
(843) 856-4700
NPI assigned
Sep 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6268 SC Primary

Addresses

Primary practice location

1885 Rifle Range Rd
Mt Pleasant, SC 29464-9440

Mailing address

1885 Rifle Range Rd
Mt Pleasant, SC 29464-9440
Phone (843) 856-4700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226003135 SC Practitioner - Occupational Therapist in Private Practice 4183019078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians

Practice addresses (Care Compare)

1400 Liberty Midtown Dr
Mount Pleasant, SC 29464-3997
Phone (843) 936-2844

1925 Essex Farms Dr
Charleston, SC 29414-6696
Phone (843) 823-5254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Aug 16, 2025 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Dec 16, 2024 Accepting new patients
Powerback Rehabilitation LLC Occupational Therapist CurrentSince Aug 16, 2025 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Dec 16, 2024 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients
Neuroscience Consultants LLP PastSince Mar 3, 2022 Accepting new patients

Locations

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

101 E State St
Kennett Square, PA 19348
Phone (610) 925-4436

1925 Essex Farms Dr
Charleston, SC 29414
Phone (843) 779-1685

Organizations & group practices 6

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": "1632009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1386314532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 RIFLE RANGE RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294649440",
            "telephone_number": "843-856-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 RIFLE RANGE RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294649440",
            "telephone_number": "843-856-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYZUK",
        "first_name": "MONTANA CHRISTY",
        "middle_name": "KIM",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-19",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "6268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.