Ryan Peter Busalacchi, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P22454 Issued in NC

Practice address

201 Williamsburg Pkwy
Jacksonville, NC 28546-6856

Phone

(252) 634-2676

Fax

(910) 353-5610

NPI assigned

Aug 4, 2023

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Providence Physical Therapy, LLC 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

72.61 of 100Reported as group

Quality

57.39

Promoting interoperability

68

Improvement activities

40

Cost

77.97

Merit-based Incentive Payment System (MIPS)

Final score

89.07 of 100Reported as group

Quality

85.94

Promoting interoperability

100

Improvement activities

40

Cost

77.63

Merit-based Incentive Payment System (MIPS)

Final score

90.19 of 100Reported as group

Quality

84.52

Promoting interoperability

100

Improvement activities

40

Cost

82.79

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Providence Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Surf City, NC
  • NPI 1326564287

  NC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Carolinaeast Physicians

  • Cardiovascular Disease Physician
  • New Bern, NC
  • NPI 1104066794

  NC

  Medicare reassignment NPD
• Emergeortho PA

  • Orthopaedic Surgery Physician
  • Durham, NC
  • NPI 1376592964

  NC, Physical Therapist

  Medicare reassignment NPD
• Carolinaeast Physicians

  • Internal Medicine Physician
  • Pollocksville, NC
  • NPI 1255632006
  NPD
• Carolinaeast Physicians

  • Obstetrics & Gynecology Physician
  • New Bern, NC
  • NPI 1619868981
  NPD
• Emergeortho PA

  • Durable Medical Equipment & Medical Supplies
  • Eden, NC
  • NPI 1841170222
  NPD

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1508548900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WILLIAMSBURG PKWY",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466856",
            "telephone_number": "252-634-2676",
            "fax_number": "910-353-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WILLIAMSBURG PKWY",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466856",
            "telephone_number": "252-634-2676",
            "fax_number": "910-353-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 W Corbett Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Swansboro",
            "state": "NC",
            "postal_code": "285848563",
            "country_code": "US",
            "telephone_number": "910-325-0211",
            "fax_number": "910-325-7423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "775 W Corbett Ave",
            "address_purpose": "LOCATION",
            "city": "Swansboro",
            "state": "NC",
            "postal_code": "285848562",
            "country_code": "US",
            "telephone_number": "252-726-1802",
            "fax_number": "252-726-1805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSALACCHI",
        "first_name": "RYAN",
        "middle_name": "PETER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-04",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "P22454",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leanne Lyon Burns, PT
• Erin K Burton
• Gerriann Burton, NP
• James E Burton, IDC
• Lauren Busalacchi, DPT
• Adam Peter Bussell, D.D.S
• Juliana Michele Butcher
• Butler Family Chiropractic, PLLC
• Kylie Hislop Butler, DC
• Lakeesa Shawntia Butler, LCSWA

• All providers in Jacksonville, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.