Active NPI
Meghan Anne Ryan, DPT
- Physical Therapist
- Montauk, NY
National Provider Identifier
1851539860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 029682
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q893A1 | Other | NY | EPIN |
| 11936109 | Other | NY | CAQH |
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 |
|---|---|---|---|
| 029682 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manual & Sports Physical Therapy, PC | Physical Therapist | Past | 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.
-
- Physical Therapist
- Southampton, NY
- NPI 1114907078
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.