Ryan Michael Baldry, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9982024 Issued in WI

Practice address

1325 S Rockwell St
Jefferson, WI 53549-2263

Phone

(920) 222-1807

NPI assigned

Mar 23, 2006

Last updated

Aug 4, 2020By the provider in NPPES

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 WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Marymount University, 2009

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rock Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Jefferson, WI
  • NPI 1992314579
  Medicare reassignment NPD Authorized official
• DPT Holdings, LLC

  dba Doctors of Physical Therapy

  • Physical Therapist
  • Plainfield, IL
  • NPI 1689648602
  NPD (past)

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1609835032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 FOSTER ST",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535382331",
            "telephone_number": "920-222-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S ROCKWELL ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492263",
            "telephone_number": "920-222-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDRY",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9982024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40437300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Lynn Alwin, RN
• Area Dental Jefferson, LLC (Area Dental Associates, LLC)
• Sean Arient, MSW
• Megan Bacchi
• Aaron Bakewell
• Laura Ann Bambrough, MSW, APSW
• Matthew Baumann, LPC
• Holly Alice Beard, LMFT
• Mary K Beck Metzger, APNP
• Heather Christine Bellford, LPC

• Physical Therapist in Jefferson, WI
• Providers in Jefferson, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.