Individual provider Active NPI

Ryan M. Monaco, PT

  • Physical Therapist
  • Whitesboro, NY
National Provider Identifier
1598035065
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
034595-1 Issued in NY
Practice address
5241 Judd Rd
Whitesboro, NY 13492-3610
Phone
(315) 765-6187
NPI assigned
Dec 30, 2011
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 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

IdentifierTypeStateIssuer
01815443MedicaidNY
00313539MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120907000002 NY Practitioner - Physical Therapist in Private Practice 7012165533 Reassigns benefits to 1 organization

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
Ryan Monaco Physical Therapy, PLLCGroup PAC ID 0446546352, 6 clinicians

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

LicenseStateTypeSpecialty
034595-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan Monaco Physical Therapy, PLLC CurrentSince Aug 1, 2016 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.

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

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.

Verify at the official NPI Registry.