Active NPI
Ryan Andrew Gleason, MSPT
- Physical Therapist
- Wallingford, CT
National Provider Identifier
1841363942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6910
- Practice address
- 701 N Colony Rd
Wallingford, CT 06492-2407 - Phone
- (203) 294-0449
- Fax
- (203) 466-8527
- NPI assigned
- Nov 16, 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 | 6910 | CT | Primary |
Addresses
Primary practice location
701 N Colony Rd
Wallingford, CT 06492-2407
Mailing address
2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 626-0160
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6910 | CT | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Services, LLC | Physical Therapist | Past | Accepting new patients |
| Bellwether Wellness, LLC | Past | Accepting new patients | |
| Darien Physical Therapy Center, P.C. | Physical Therapist | Past | Accepting new patients |
| Integrated Rehabilitation Services Limited Partnership | Physical Therapist | Past | Accepting new patients |
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.
-
- Nutritionist
- Darien, CT
- NPI 1295558237
-
- Physical Medicine & Rehabilitation Physician
- Darien, CT
- NPI 1689686545
Physical Therapist
-
- Physical Therapist
- Vernon, CT
- NPI 1346969532
-
- Physical Therapist
- Vernon, CT
- NPI 1104867951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1841363942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183209",
"telephone_number": "203-626-0160",
"fax_number": "203-294-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N COLONY RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922407",
"telephone_number": "203-294-0449",
"fax_number": "203-466-8527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASON",
"first_name": "RYAN",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "6910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.