Individual provider Active NPI

Ryan William Hill, PTA

  • Physical Therapy Assistant
  • Melbourne, FL
National Provider Identifier
1497582035
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA29480 Issued in FL
Practice address
2090 W Eau Gallie Blvd Ste B
Melbourne, FL 32935-3186
Phone
(321) 306-2551
NPI assigned
Sep 17, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA29480 FL Primary

Addresses

Primary practice location

2090 W Eau Gallie Blvd Ste B
Melbourne, FL 32935-3186

Mailing address

2523 Palm Place Dr NE # 2523
Palm Bay, FL 32905-3977
Phone (321) 557-2709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA29480FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ajl Nursing Services, LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

2090 W Eau Gallie Blvd
Ste B
Melbourne, FL 32935
Phone (321) 306-2551

Organizations & group practices 1

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": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1497582035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 PALM PLACE DR NE # 2523",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329053977",
            "telephone_number": "321-557-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 W EAU GALLIE BLVD STE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353186",
            "telephone_number": "321-306-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "RYAN",
        "middle_name": "WILLIAM",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.