Ryan Scott Stevens, MPS, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00157800 Issued in NJ

Practice address

1 Patriots Park
TD Bank Ballpark
Bridgewater, NJ 08807-3454

Phone

(908) 203-5972

Fax

(908) 685-2413

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Robert Wood Johnson University Hospital Inc

  • Psychiatric Hospital Unit
  • Somerville, NJ
  • NPI 1922428796
  NPD (past)
• Somerset Medical Center

  • Prosthetic/Orthotic Supplier
  • Somerville, NJ
  • NPI 1528209731
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1679618706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 REHILL AVE",
            "address_2": "ATTN: SPORTS PERFORMANCE & REHABILITATION CENTER",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088762519",
            "telephone_number": "908-203-5972",
            "fax_number": "908-685-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PATRIOTS PARK",
            "address_2": "TD BANK BALLPARK",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088073454",
            "telephone_number": "908-203-5972",
            "fax_number": "908-685-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "MPS, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001366",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00157800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dameon M Stackhouse
• Christina Staniszewski, COTA/L
• Jacqueline Staton, PEER RECOVERY SPECIA
• Nathan Christopher Steele, DMD
• Paola Stevens, LCSW
• Leah Stine
• Cynthia Stones
• Martin E Storbeck, O.D.
• Michael T Storch, PHARMD
• Miletta Storchevaya

• Athletic Trainer in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.