Ryan Haekwon Jang, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29617 Issued in MD

Practice address

7625 Maple Lawn Blvd Ste 140
Fulton, MD 20759-2565

Phone

(301) 497-3070

Fax

(301) 497-3071

NPI assigned

Aug 15, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Synergy Therapy, LLCGroup PAC ID 0446350490, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Synergy Therapy, LLC

  dba Synergy Physical Therapy

  • Physical Therapist
  • Fulton, MD
  • NPI 1831225408
  Care Compare group NPD

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1548043409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 WHITE ASH PL",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208784030",
            "telephone_number": "240-778-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MAPLE LAWN BLVD STE 140",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592565",
            "telephone_number": "301-497-3070",
            "fax_number": "301-497-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANG",
        "first_name": "RYAN",
        "middle_name": "HAEKWON",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Huppmann, CRNP
• Jae-Woo Im, OT
• Nirja Asit Inamdar, DO
• Thomas Grafton Issermoyer, PTA
• Anne E Itodo
• Majbritt S Jensen, LCSW-C
• Jerry L. Radas, P.C. (Fulton Family Chiropractic)
• John C Baar, Jr, DDS, LLC
• Johns Hopkins Community Physicians (JHCP Social Worker- 8115 Maple Lawn Blvd. Ste 140)
• Johns Hopkins Community Physicians (JHCP - 8115 Maple Lawn Blvd SUITE 140)

• Physical Therapist in Fulton, MD
• Providers in Fulton, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.