Active NPI
Raymond Timothy Ryan, PT
- Physical Therapist
- Meriden, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006372
- Practice address
- 455 Lewis Ave
Meriden, CT 06451-2121 - Phone
- (203) 935-0463
- Fax
- (203) 639-7997
- NPI assigned
- Jun 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006372 | CT | Primary |
Addresses
Primary practice location
455 Lewis Ave
Meriden, CT 06451-2121
Mailing address
455 Lewis Ave
Meriden, CT 06451-2121
Phone (203) 935-0463
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004214128 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
863 N Main St Ext
Suite 200 FL 2
Wallingford, CT 06492-2434
Phone (203) 265-3280
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.79 of 100
- Quality
- 50.34
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6372 | CT | MD | Clinical Social Worker |
| 006372 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Orthopedics & Musculoskeletal Care LLC | Current | Accepting new patients | |
| Carlson Therapy Network, PC | Physical Therapist | Past | Accepting new patients |
| Valley Physical Therapy & Sports Medicine Services, P.C. | Physical Therapist | Past | Accepting new patients |
| Valley Physical Therapy, LLC | Past | Accepting new patients |
Locations
455 Lewis Ave
Ste 101
Meriden, CT 06451
Phone (203) 639-7992
455 Lewis Ave
Meriden, CT 06451
Phone (203) 238-2691
455 Lewis Ave
Ste 200
Meriden, CT 06451
Phone (203) 238-9446
98 Main St
Rear 1
Southington, CT 06489
601 N Main St
Southington, CT 06489
863 N Main Street Ext
Ste 200
Wallingford, CT 06492
Phone (203) 741-6547
Organizations & group practices 4
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.
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- NPI 1790844330
-
- Physical Therapist
- New Milford, CT
- NPI 1114979226
-
- Physical Therapist
- Marlborough, CT
- NPI 1841381969
-
- Specialist
- Marlborough, CT
- NPI 1841525904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821034117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 LEWIS AVE",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512121",
"telephone_number": "203-935-0463",
"fax_number": "203-639-7997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 LEWIS AVE",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064512121",
"telephone_number": "203-935-0463",
"fax_number": "203-639-7997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "RAYMOND",
"middle_name": "TIMOTHY",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "006372",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004214128",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meriden, CT
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.
- 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.