Active NPI
Ryker Gregory Kallas, DPT
- Physical Therapist
- Brookfield, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12891
- 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, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 27612 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Specialists of Connecticut, PC | Physical Therapist | Current | Accepting new patients |
| Hand Therapy Associates, Inc | Physical Therapist | Current | Accepting new patients |
| Connect Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Hand Therapy Associates, Inc | Physical Therapist | Current | 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.
-
- Physical Therapist
- Watertown, CT
- NPI 1891221370
-
- Orthopaedic Surgery Physician
- Brookfield, CT
- NPI 1366468837
Physical Therapist
-
- Occupational Therapist
- Woodbridge, CT
- NPI 1518087758
Physical Therapist
-
- Occupational Therapist
- Southington, CT
- NPI 1922567544
Physical Therapist
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.