Individual provider Active NPI

Robert Ryan Cruz Sy, PT

  • Physical Therapist
  • Honolulu, HI
National Provider Identifier
1902887334
Registry record updated Mar 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5570 Issued in HI
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

Updated by the provider on Mar 3, 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 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

IdentifierTypeStateIssuer
02715382MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 CorpGroup PAC ID 3173067717, 2 clinicians

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

LicenseStateTypeSpecialty
PT5570HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stayfit Physical Therapy LLC CurrentSince Jan 17, 2023 Accepting new patients
System Physical Therapy Corp. Physical Therapist CurrentSince May 1, 2024 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.

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.

Verify at the official NPI Registry.