Individual provider Active NPI

Ryan Partridge, DPT

  • Physical Therapist
  • Watertown, CT
National Provider Identifier
1639626302
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011073 Issued in CT
Practice address
35 Bunker Hill Rd
Watertown, CT 06795-3304
Phone
(860) 274-5428
NPI assigned
Sep 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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 011073 CT Primary

Addresses

Primary practice location

35 Bunker Hill Rd
Watertown, CT 06795-3304

Mailing address

23 Ardi CT
Sandy Hook, CT 06482-1592

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816001756 CT Practitioner - Physical Therapist in Private Practice 2769754431 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011073CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter S Zielinski Physical Therapy PC Physical Therapist CurrentSince Aug 16, 2017 Accepting new patients
Stern at Home Physical Therapy PC Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients

Locations

181 Main St
Monroe, CT 06468
Phone (203) 445-8365

415 Main St
Ridgefield, CT 06877
Phone (203) 438-7565

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

Organizations & group practices 2

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1639626302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ARDI CT",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BUNKER HILL RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953304",
            "telephone_number": "860-274-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTRIDGE",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "011073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.