Stefanie L Ryan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

029538-1 Issued in NY

Practice address

2827 US Highway 9
Ocean State Job Lots Plaza
Valatie, NY 12184

Phone

(518) 758-7616

NPI assigned

Aug 10, 2007

Last updated

Feb 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Stefanie L Dedrick Former name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Physical Therapy PCGroup PAC ID 6608780911, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Columbia Physical Therapy PC

  • Physical Therapist
  • East Greenbush, NY
  • NPI 1386724722
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1811189202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 US HIGHWAY 9",
            "address_2": "OCEAN STATE JOB LOTS PLAZA",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "12184",
            "telephone_number": "518-758-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 US HIGHWAY 9",
            "address_2": "OCEAN STATE JOB LOTS PLAZA",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "12184",
            "telephone_number": "518-758-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "STEFANIE",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-10",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029538",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029538-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANIE",
            "last_name": "DEDRICK",
            "middle_name": "L",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lydia A Repnoy, PT
• Kimberly Lynn Ringwood, LCSW
• Rugen Chiropractic PC
• Glenn Edward Rugen, DC DABCN
• Robert Keith Rugen, DC
• Kristin Dorothea Saccento, MS, CCC-SLP
• Schaeffer Audiology Services, PLLC
• Michael Eric Schaeffer, MD
• Hal K Schaffer, MD
• Miriam D Schneider, DMD

• Physical Therapist in Valatie, NY
• Providers in Valatie, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.