Matthew Rysdyk, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001602 Issued in MI

Practice address

1830 S Milton Rd
Apt. #153
Flagstaff, AZ 86001-6337

Phone

(616) 304-8100

NPI assigned

Mar 9, 2015

Last updated

Jul 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Remedy Physical Therapy

  • Physical Therapy Clinic/Center
  • Tempe, AZ
  • NPI 1720680275
  NPD Authorized official

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1750774154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S MILTON RD",
            "address_2": "APT. #153",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016337",
            "telephone_number": "616-304-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 S MILTON RD",
            "address_2": "APT. #153",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860016337",
            "telephone_number": "616-304-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYSDYK",
        "first_name": "MATTHEW",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-09",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith T Ryan, MD
• Sandra Ann Ryan, M.A., CCC-LP
• Matthew Scott Rybka, MD
• Matthew Kevin Rydberg, MD
• Ryder Medical PC
• Mathew Sabicer, RN
• Nicolette Suzanne Sachs, LCSW
• Sacred Peaks Health Center DME (Sacred Peaks Health Center)
• Jermaine Isip Saddi-Alvarez
• Andrew Saenz, D.C

• Athletic Trainer in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Athletic Trainer in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.