Individual provider Active NPI

Ryan Anthony Ryba, PT, DPT

  • Physical Therapist
  • Frankfort, IL
National Provider Identifier
1639725443
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.024571 Issued in IL
Practice address
7777 W Lincoln Hwy
Frankfort, IL 60423-9490
Phone
(815) 806-8777
Fax
(815) 806-9777
NPI assigned
Aug 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.024571 IL Primary
Physical Therapist 225100000X 070024571 IL

Addresses

Primary practice location

7777 W Lincoln Hwy
Frankfort, IL 60423-9490

Mailing address

7777 W Lincoln Hwy
Frankfort, IL 60423-9490
Phone (815) 806-8777

Other practice location 1

19 W Division St
Manteno, IL 60950-1533
Phone (815) 468-7300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918002784 IL Practitioner - Physical Therapist in Private Practice 1355671231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manteno Physical Therapy, LLCGroup PAC ID 6305993163, 2 clinicians
Frankfort Physical Therapy, Inc.Group PAC ID 1052585866, 2 clinicians

Practice addresses (Care Compare)

19 W Division St
Manteno, IL 60950-1533
Phone (815) 468-7300

7777 W Lincoln Hwy
Suite D
Frankfort, IL 60423-9491
Phone (815) 806-8777

7777 W Lincoln Hwy D
Frankfort, IL 60423-9491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.024571ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Frankfort Physical Therapy, Inc. Physical Therapist CurrentSince Aug 16, 2019 Accepting new patients
Manteno Physical Therapy, LLC CurrentSince Aug 16, 2019 Accepting new patients
Lincoln-Way Physical Therapy, LLC Past Accepting new patients

Locations

7777 W Lincoln Hwy
Frankfort, IL 60423
Phone (815) 806-0777

7777 W Lincoln Hwy
Ste D
Frankfort, IL 60423
Phone (815) 806-8777

19 W Division St
Manteno, IL 60950
Phone (815) 468-7300

Organizations & group practices 3

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1639725443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239490",
            "telephone_number": "815-806-8777",
            "fax_number": "815-806-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 W LINCOLN HWY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604239490",
            "telephone_number": "815-806-8777",
            "fax_number": "815-806-9777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 W Division St",
            "address_purpose": "LOCATION",
            "city": "Manteno",
            "state": "IL",
            "postal_code": "609501533",
            "country_code": "US",
            "telephone_number": "815-468-7300",
            "fax_number": "815-468-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RYBA",
        "first_name": "RYAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.024571",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.