Ryan P O'Boyle, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.009662 Issued in IL

Practice address

1240 Essington Rd Ste 100
Joliet, IL 60435-8409

Phone

(815) 744-7018

NPI assigned

Dec 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Brightmore Physical Therapy LTD

  • Physical Therapist
  • Joliet, IL
  • NPI 1033226857
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1396458931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 ESSINGTON RD STE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358409",
            "telephone_number": "815-744-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 ESSINGTON RD STE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358409",
            "telephone_number": "815-744-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BOYLE",
        "first_name": "RYAN",
        "middle_name": "P",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.009662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "operations@brightmorept.com",
            "affiliation": "N",
            "address_1": "1240 Essington Rd Ste 100",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604358409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Boris Nulman, M.D.
• De'Andre Nunn, OTR/L
• Laura Nurczyk
• Chukwuma Chisom Nwachukwu, MD
• Haley Nystrom
• Kelly M. O'Hern, LCSW
• Michelle Collier O'Leary, MD
• Lindsay M O'Neal, DPT
• Michelle Erma Obrien, SLP/L
• Oceangreen Inc

• Physical Therapy Assistant in Joliet, IL
• Providers in Joliet, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.