Ryan Kenneth Bagley, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070014971 Issued in IL

Practice address

3021 Falling Waters Blvd
Suite C
Lindenhurst, IL 60046-6793

Phone

(630) 674-3210

Fax

(630) 674-3210

NPI assigned

May 27, 2006

Last updated

May 11, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• North Suburban Physical Therapy, P.C.

  • Physical Therapist
  • Lindenhurst, IL
  • NPI 1588989057
  Authorized official Same address or phone
• Accelerated Rehabilitation Centers LTD

  • Physical Therapist
  • Westmont, IL
  • NPI 1205875713
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525996800000",
    "number": "1710934898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 MOTOR PKWY",
            "address_2": "STE 307",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117495258",
            "telephone_number": "631-580-5200",
            "fax_number": "631-580-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 FALLING WATERS BLVD",
            "address_2": "SUITE C",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600466793",
            "telephone_number": "630-674-3210",
            "fax_number": "630-674-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "RYAN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Chiropractic & Acupuncture Center
• Amg Illinois LTD
• Athletico, LTD. (Athletico Physical Therapy)
• Tiffani Aytch, PHARMD
• Marilyn Josephine Baeckelandt, M.S.,N.C.C., L.C.P.C
• Mary Ann Baldino-Gomez, D.D.S.
• Kaycie Bardell, RN
• Cathleen Ellen Bender, PT
• Stephanie Bernardi, DPT, MAT, ATC
• Sheri Dionne Bochniak, LCSW

• Physical Therapist in Lindenhurst, IL
• Providers in Lindenhurst, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; 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.