Ryan M Boyd, ATC
Individual provider Active NPI Physical Therapist · Danvers, MA
NPI 1477581981 · NPPES record last updated Apr 20, 2011
Key facts
- NPI
- 1477581981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 19440 (MA)
- Practice address
- 85 Constitution LN
Danvers, MA 01923-3694 - Phone
- (978) 750-8188
- Fax
- (978) 750-8186
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Physical Therapy LLC
Practice addresses (Care Compare)
319 Newburyport Tpke
Suite 101
Rowley, MA 01969-1754
Phone (978) 948-2946
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110620000044 | MA | Practitioner - Physical Therapist in Private Practice | 0547448722 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1745 | MA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
319 Newburyport Tpke
Ste 101
Rowley, MA 01969
Phone (978) 948-2946
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1745 | MA | |
| Physical Therapist | 225100000X | 19440 | MA | Yes |
Addresses
Primary practice location
85 Constitution LN
Danvers, MA 01923-3694
Mailing address
19 Lanthorn Rd
Northboro, MA 01532-2450
Phone (508) 393-3524
Other providers in Danvers, MA
- Jennifer Boutchie
- Emily Nicole Boutin
- Kristina Marie Bove
- Susan Bovio
- Lynn Bowen
- John J Boyle
- Lauren Boyle
- Marjorie Boyle
- Kieth Dana Bradbury
- Annmarie Brady
All providers in Danvers, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.