Individual provider Active NPI

Ryan R Ackerman, PT, DPT

  • Physical Therapist
  • Mullica Hill, NJ
National Provider Identifier
1669840138
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01618900 Issued in NJ
Practice address
3 Myers Dr Ste 201
Mullica Hill, NJ 08062-9515
Phone
(856) 502-3300
Fax
(856) 294-9241
NPI assigned
Sep 14, 2015
Last updated
Apr 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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 40QA01618900 NJ Primary

Addresses

Primary practice location

3 Myers Dr Ste 201
Mullica Hill, NJ 08062-9515

Mailing address

224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
Phone (856) 677-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151030000062 NJ Practitioner - Physical Therapist in Private Practice 2567772783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3 Myers Dr
Suite 201
Mullica Hill, NJ 08062-9515
Phone (856) 502-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA01618900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Physical Therapy Specialists LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC CurrentSince Jan 1, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC Physical Therapist Past Accepting new patients

Locations

1 Rossmoor Dr
Ste 101
Monroe Twp, NJ 08831
Phone (609) 860-9913

224 Strawbridge Dr
Ste 100
Moorestown, NJ 08057
Phone (856) 677-4000

740 Marne Hwy
Ste 203
Moorestown, NJ 08057
Phone (856) 914-1400

3 Myers Dr
Ste 201
Mullica Hill, NJ 08062
Phone (856) 502-3300

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, 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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1669840138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 STRAWBRIDGE DR STE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574602",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MYERS DR STE 201",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629515",
            "telephone_number": "856-502-3300",
            "fax_number": "856-294-9241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERMAN",
        "first_name": "RYAN",
        "middle_name": "R",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01618900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullica Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.