Active NPI
Robert Ryan, PT
- Physical Therapist
- Longwood, FL
National Provider Identifier
1770605719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8704
- Practice address
- 160 Islander CT
Longwood, FL 32750-4925 - Phone
- (407) 767-6600
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT8704 | FL | Primary |
| Physical Therapist | 225100000X | 004298 | CT |
Addresses
Primary practice location
160 Islander CT
Longwood, FL 32750-4925
Mailing address
532 W Harvard St
Orlando, FL 32804-5322
Phone (407) 353-4089
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
Locations
2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654
8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979
38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 2
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1336535988
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770605719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 W HARVARD ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328045322",
"telephone_number": "407-353-4089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ISLANDER CT",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504925",
"telephone_number": "407-767-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT8704",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "004298",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.