Individual provider Active NPI

Ryant Lee

  • Physical Therapist
  • Marshfield, MA
National Provider Identifier
1659922177
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
296601 Issued in CA
Practice address
892 Plain St
Marshfield, MA 02050-2191
Phone
(781) 536-4034
NPI assigned
Sep 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 296601 CA Primary

Addresses

Primary practice location

892 Plain St
Marshfield, MA 02050-2191

Mailing address

932 W Duarte Rd Unit 3
Arcadia, CA 91007-7428
Phone (626) 382-8926

Other practice location 1

5454 El Cajon Blvd
San Diego, CA 92115-3621
Phone (619) 515-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191004000329 MA Practitioner - Physical Therapist in Private Practice 6204167364 Reassigns benefits to 1 organization
I20240716004297 CA Practitioner - Physical Therapist in Private Practice 6204167364 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24282MAMDPharmacist
296601CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc CurrentSince Oct 7, 2019 Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 8, 2024 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Jul 8, 2024 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist PastSince Oct 7, 2019 Accepting new patients

Locations

5454 El Cajon Blvd
San Diego, CA 92115
Phone (619) 515-2381

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205

703 Granite St
Fl 3
Braintree, MA 02184

186 Summer St
Kingston, MA 02364
Phone (781) 585-8588

892 Plain St
Marshfield, MA 02050
Phone (781) 536-4034

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

Organizations & group practices 5

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1659922177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "932 W DUARTE RD UNIT 3",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077428",
            "telephone_number": "626-382-8926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 PLAIN ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502191",
            "telephone_number": "781-536-4034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5454 El Cajon Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921153621",
            "country_code": "US",
            "telephone_number": "619-515-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "RYANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.