Ryan Ciesielski, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 31880 Issued in FL

Practice address

925 S Semoran Blvd
110A
Winter Park, FL 32792-5313

Phone

(800) 521-9604

Fax

(800) 521-9608

NPI assigned

Oct 25, 2016

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

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1740732858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 CARDEZA AVE",
            "city": "BRIELLE",
            "state": "NJ",
            "postal_code": "087301916",
            "telephone_number": "732-816-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 S SEMORAN BLVD",
            "address_2": "110A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327925313",
            "telephone_number": "800-521-9604",
            "fax_number": "800-521-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESIELSKI",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 31880",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01412400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unju Chung-Canine, MA LMHC NCC
• Nicholas Chung, DMD
• Coleen N. Cicale, MSW
• Cicatrix of Winter Park LLC
• Meghan Kathleen Ciccarello, DNP
• Genevieve Cintron, M.A., CCC-SLP
• City of Winter Park (Winter Park Fire Rescue Department)
• Joa Macnalie Claircius, EDD
• Clifford P Clark III, M.D., P.A.
• Kristen J. Clark, P.A.

• Physical Therapist in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.