Individual provider Active NPI

Ryan Dalton, PT, DPT

  • Physical Therapist
  • Mohegan Lake, NY
National Provider Identifier
1578046249
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
043227-1 Issued in NY
Practice address
2804 Stony St
Mohegan Lake, NY 10547-2007
Phone
(845) 901-4240
NPI assigned
Sep 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 043227-1 NY Primary

Addresses

Primary practice location

2804 Stony St
Mohegan Lake, NY 10547-2007

Mailing address

2804 Stony St
Mohegan Lake, NY 10547-2007
Phone (845) 901-4240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190207001562 NY Practitioner - Physical Therapist in Private Practice 1153669643 Reassigns benefits to 3 organizations
Practice locations: Mohegan Lake, NY

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Mohegan Lake, NY 10547
Phone (845) 901-4240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043227-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Dalton Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Nov 27, 2023 Accepting new patients
Dalton Physical Therapy PLLC Physical Therapist CurrentSince Mar 26, 2025 Accepting new patients
Marc Waldman, M.D., P.C. CurrentSince Oct 30, 2021 Accepting new patients
Jr Physical Therapy Peekskill PLLC Physical Therapist CurrentSince Mar 25, 2022 Accepting new patients
William S. Bremiller Physical Therapist Past Accepting new patients

Locations

892 Route 35
Cross River, NY 10518
Phone (914) 763-0458

138 5th Ave
Fl 2
New York, NY 10011
Phone (212) 287-4257

930 South St
Ste A
Peekskill, NY 10566
Phone (914) 488-5763

3695 Old Yorktown Rd
Shrub Oak, NY 10588
Phone (914) 294-4842

Organizations & group practices 6

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1578046249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 STONY ST",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105472007",
            "telephone_number": "845-901-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 STONY ST",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105472007",
            "telephone_number": "845-901-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "RYAN",
        "credential": "PT,  DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "043227-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mohegan Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.