Active NPI
Ryan M. Monaco, PT
- Physical Therapist
- Whitesboro, NY
National Provider Identifier
1598035065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 034595-1
- Practice address
- 5241 Judd Rd
Whitesboro, NY 13492-3610 - Phone
- (315) 765-6187
- NPI assigned
- Dec 30, 2011
- Last updated
- Feb 14, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 034595-1 | NY | Primary |
Addresses
Primary practice location
5241 Judd Rd
Whitesboro, NY 13492-3610
Mailing address
5241 Judd Rd
Whitesboro, NY 13492-3610
Phone (315) 765-6187
Other practice location 1
1307 Champlin Ave
Utica, NY 13502-3660
Phone (315) 624-0100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01815443 | Medicaid | NY | |
| 00313539 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5241 Judd Rd
Whitesboro, NY 13492-3610
Phone (315) 765-6187
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034595-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Monaco Physical Therapy, PLLC | Current | Accepting new patients |
Locations
1307 Champlin Ave
Utica, NY 13502
Phone (315) 624-0100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Utica, NY
- NPI 1336507789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1598035065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5241 JUDD RD",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134923610",
"telephone_number": "315-765-6187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5241 JUDD RD",
"city": "WHITESBORO",
"state": "NY",
"postal_code": "134923610",
"telephone_number": "315-765-6187"
}
],
"practiceLocations": [
{
"address_1": "1307 Champlin Ave",
"address_purpose": "LOCATION",
"city": "Utica",
"state": "NY",
"postal_code": "135023660",
"country_code": "US",
"telephone_number": "315-624-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONACO",
"first_name": "RYAN",
"middle_name": "M.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-30",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "034595-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01815443",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00313539",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whitesboro, NY
- Matthew Sanchez Family Health NP Walk-in Services, PLLC (MedGo Walk-In)
- Matthew Sanchez Family Health Nurse Practitioner, PLLC
- Kimberly Marie Meislin, RN
- Meredith Gorton Mental Health Counseling Services PLLC
- Nichole Marie Merriam
- Lachanee Morgan, LPN
- Affaf Munir, MD
- Julie Michelle Murray, RPH
- Lori Myers, LCSW
- Dawn M Mykel, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.