Individual provider Active NPI

Meghan Anne Ryan, DPT

  • Physical Therapist
  • Montauk, NY
National Provider Identifier
1851539860
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
029682 Issued in NY
Practice address
240 Edgemere St
Room 202
Montauk, NY 11954-5144
Phone
(631) 668-1372
Fax
(631) 668-1374
NPI assigned
Jan 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 029682 NY Primary

Addresses

Primary practice location

240 Edgemere St
Room 202
Montauk, NY 11954-5144

Mailing address

240 Edgemere St
Room 202
Montauk, NY 11954-5144
Phone (631) 668-1372

Other identifiers 2

IdentifierTypeStateIssuer
Q893A1OtherNYEPIN
11936109OtherNYCAQH

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

LicenseStateTypeSpecialty
029682NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual & Sports Physical Therapy, PC Physical Therapist PastSince May 1, 2015 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1851539860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 EDGEMERE ST",
            "address_2": "ROOM 202",
            "city": "MONTAUK",
            "state": "NY",
            "postal_code": "119545144",
            "telephone_number": "631-668-1372",
            "fax_number": "631-668-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EDGEMERE ST",
            "address_2": "ROOM 202",
            "city": "MONTAUK",
            "state": "NY",
            "postal_code": "119545144",
            "telephone_number": "631-668-1372",
            "fax_number": "631-668-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "MEGHAN",
        "middle_name": "ANNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-29",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPIN",
            "identifier": "Q893A1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11936109",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montauk, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.