Individual provider Active NPI

Ryker Gregory Kallas, DPT

  • Physical Therapist
  • Brookfield, CT
National Provider Identifier
1902456411
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12891 Issued in CT
Practice address
60 Old New Milford Rd Ste 2a
Brookfield, CT 06804-2434
Phone
(203) 775-6205
NPI assigned
Sep 17, 2019
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27612 MD
Physical Therapist 225100000X 12891 CT Primary

Addresses

Primary practice location

60 Old New Milford Rd Ste 2a
Brookfield, CT 06804-2434

Mailing address

1730 Bollinger Rd
Westminster, MD 21157-7217
Phone (203) 733-6789

Other practice location 1

826 Washington Rd Ste 111
Westminster, MD 21157-5779
Phone (443) 201-9990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201022001093 CT Practitioner - Physical Therapist in Private Practice 2365862331 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Connecticut School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialists of Connecticut, PCGroup PAC ID 6709779887, 21 clinicians
Connect Physical Therapy LLCGroup PAC ID 2163792771, 16 clinicians

Practice addresses (Care Compare)

60 Old New Milford Rd
Suite 3E
Brookfield, CT 06804-2414
Phone (203) 775-6205

777 Echo Lake Rd
Suite 1
Watertown, CT 06795-6617
Phone (959) 209-4318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27612MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Specialists of Connecticut, PC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Hand Therapy Associates, Inc Physical Therapist CurrentSince Oct 15, 2020 Accepting new patients
Connect Physical Therapy, LLC Physical Therapist CurrentSince Oct 6, 2025 Accepting new patients
Hand Therapy Associates, Inc Physical Therapist CurrentSince Oct 15, 2020 Accepting new patients

Locations

60 Old New Milford Rd
Ste 2A
Brookfield, CT 06804
Phone (203) 350-6999

60 Old New Milford Rd
Ste 3E
Brookfield, CT 06804
Phone (203) 775-6205

60 Old New Milford Rd
Ste 3G
Brookfield, CT 06804
Phone (203) 775-6205

2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702

73 Sand Pit Rd
Ste 204
Danbury, CT 06810
Phone (203) 212-8000

761 Main Ave
Norwalk, CT 06851
Phone (203) 845-2160

761 Main Ave
Ste 113
Norwalk, CT 06851
Phone (203) 845-2987

100 Main St N
Southbury, CT 06488
Phone (203) 262-4559

777 Echo Lake Rd
Ste 1
Watertown, CT 06795
Phone (959) 209-4318

323 Riverside Ave
Westport, CT 06880
Phone (203) 221-7337

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1902456411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 BOLLINGER RD",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577217",
            "telephone_number": "203-733-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 OLD NEW MILFORD RD STE 2A",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042434",
            "telephone_number": "203-775-6205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "826 Washington Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211575779",
            "country_code": "US",
            "telephone_number": "443-201-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALLAS",
        "first_name": "RYKER",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-17",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27612",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.