Stephen Joseph Ryan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0PT241861 Issued in CA

Practice address

1727 Martin Luther King Jr Way Ste 210
Oakland, CA 94612-1309

Phone

(510) 547-7500

Fax

(510) 545-4225

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1427190958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 MARTIN LUTHER KING JR WAY STE 210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121309",
            "telephone_number": "510-547-7500",
            "fax_number": "510-545-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 MARTIN LUTHER KING JR WAY STE 210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121309",
            "telephone_number": "510-547-7500",
            "fax_number": "510-545-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "STEPHEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "0PT241861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00316161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Ryan, LMFT
• Jeri Paige Ryan
• Karina Michelle Ryan, APCC
• Lisa Lashonne Ryan, RAS, CATC
• Roberta Ryan
• Victoria Ryan, LMFT
• Caryn L. Rybczynski, MD
• Yelena V. Rybkina
• Jenifer L. Ryden, PT
• Allie Ryder

• Physical Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.