Active NPI
Robert Ryan Cruz Sy, PT
- Physical Therapist
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5570
- Practice address
- 4211 Waialae Ave Ste 303
Honolulu, HI 96816-5316 - Phone
- (845) 636-3044
- NPI assigned
- Nov 11, 2005
- 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 | 022079 | NY | |
| Physical Therapist | 225100000X | PT5570 | HI | Primary |
Addresses
Primary practice location
4211 Waialae Ave Ste 303
Honolulu, HI 96816-5316
Mailing address
4211 Waialae Ave Ste 303
Honolulu, HI 96816-5316
Phone (845) 636-3044
Other practice location 1
90 S Bedford Rd
CareMount Medical PC
Mount Kisco, NY 10549-3412
Phone (914) 242-1050
Other practice location 2
99-128 Aiea Heights Drive
#207
Aiea, HI 96701-3968
Phone (808) 487-0487
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02715382 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230221003221 | HI | Practitioner - Physical Therapist in Private Practice | 3577666205 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- System Physical Therapy Corp
Practice addresses (Care Compare)
4211 Waialae Ave
Suite 303
Honolulu, HI 96816-5316
Phone (808) 501-0201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT5570 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stayfit Physical Therapy LLC | Current | Accepting new patients | |
| System Physical Therapy Corp. | Physical Therapist | Current | Accepting new patients |
Locations
99-128 Aiea Heights Dr
Ste 204
Aiea, HI 96701
99-128 Aiea Heights Dr
Ste 207
Aiea, HI 96701
Phone (808) 487-0487
4211 Waialae Ave
Ste 303
Honolulu, HI 96816
Phone (808) 501-0201
1001 Kamokila Blvd
Ste 114
Kapolei, HI 96707
Phone (808) 674-0500
Organizations & group practices 2
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 Therapy Clinic/Center
- Honolulu, HI
- NPI 1942067236
HI, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709424000000",
"number": "1902887334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 WAIALAE AVE STE 303",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165316",
"telephone_number": "845-636-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 WAIALAE AVE STE 303",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165316",
"telephone_number": "845-636-3044"
}
],
"practiceLocations": [
{
"address_1": "90 S Bedford Rd",
"address_2": "CareMount Medical PC",
"address_purpose": "LOCATION",
"city": "Mount Kisco",
"state": "NY",
"postal_code": "105493412",
"country_code": "US",
"telephone_number": "914-242-1050",
"fax_number": "914-242-1568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "99-128 Aiea Heights Drive",
"address_2": "#207",
"address_purpose": "LOCATION",
"city": "Aiea",
"state": "HI",
"postal_code": "967013968",
"country_code": "US",
"telephone_number": "808-487-0487",
"fax_number": "808-486-8674",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SY",
"first_name": "ROBERT RYAN",
"middle_name": "CRUZ",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-11",
"last_updated": "2024-03-03",
"certification_date": "2024-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "022079",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT5570",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02715382",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.