Individual provider Active NPI

Ian James Pryor, PT, DPT

  • Physical Therapist
  • Raleigh, NC
National Provider Identifier
1740965672
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P22329 Issued in NC
Practice address
9660 Falls of Neuse Rd
Raleigh, NC 27615-2473
Phone
(919) 421-8490
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 P22329 NC Primary

Addresses

Primary practice location

9660 Falls of Neuse Rd
Raleigh, NC 27615-2473

Mailing address

6408 Cayuse LN
Raleigh, NC 27603-9467
Phone (512) 965-1860

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250903003531 LA Practitioner - Physical Therapist in Private Practice 7517469281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cypress PT Charles LLC 5 clinicians

Practice addresses (Care Compare)

12807 Hwy 90
Suite 130a
Luling, LA 70070-2243
Phone (985) 308-0078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P22329NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress PT Charles LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Babin Physical Therapy Services, Inc PastSince Mar 6, 2009 Accepting new patients
Carolina Physical Therapy Associates LLC Physical Therapist Past Accepting new patients
Carolina Physical Therapy Associates LLC PastSince Jun 25, 2023 Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients
Carolina Physical Therapy Associates LLC Past Accepting new patients

Locations

371 W Esplanade Ave
Kenner, LA 70065
Phone (504) 467-5520

12807 Highway 90
Ste 103A
Luling, LA 70070
Phone (985) 308-0078

12807 Highway 90
Ste 130A
Luling, LA 70070
Phone (985) 308-0078

12807 Highway 90
Ste 101
Luling, LA 70070
Phone (985) 308-0078

Organizations & group practices 10

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1740965672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 CAYUSE LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276039467",
            "telephone_number": "512-965-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 FALLS OF NEUSE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152473",
            "telephone_number": "919-421-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "IAN",
        "middle_name": "JAMES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P22329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.