Individual provider Active NPI

Ryan Allen Menard, DO

  • Physical Medicine & Rehabilitation Physician
  • Boston, MA
National Provider Identifier
1912343773
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
1016629 Issued in MA
Practice address
55 Fruit St
Boston, MA 02114-2696
Phone
(508) 833-4160
NPI assigned
May 20, 2013
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 1016629 MA Primary

Addresses

Primary practice location

55 Fruit St
Boston, MA 02114-2696

Mailing address

311 Service Rd
East Sandwich, MA 02537-1370
Phone (508) 833-4000

Other practice location 1

311 Service Rd
East Sandwich, MA 02537-1370
Phone (508) 833-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, MA, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190715002385 AR Practitioner - Physical Medicine and Rehabilitation 0042572745 Reassigns benefits to 1 organization
I20230915002602 MA Practitioner - Physical Medicine and Rehabilitation 0042572745 Reassigns benefits to 1 organization
I20250827004335 IN Practitioner - Physical Medicine and Rehabilitation 0042572745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transcendent Physiatry and Rehabilitation LLCGroup PAC ID 1850707514, 7 clinicians

Practice addresses (Care Compare)

1260 City Ctr Dr
Carmel, IN 46032-3810
Phone (214) 970-6817

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1016629MAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Transcendent Physiatry and Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Aug 21, 2025 Accepting new patients
Arkansas Health Group Physical Medicine & Rehabilitation CurrentSince May 22, 2019 Accepting new patients
Massachusetts General Physicians Organization Inc Physical Medicine & Rehabilitation CurrentSince Jul 17, 2023 Accepting new patients
Arkansas Health Group CurrentSince May 22, 2019 Accepting new patients

Locations

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

9501 Baptist Health Dr
Fl First
Little Rock, AR 72205
Phone (501) 202-7395

3343 Springhill Dr
Ste 2050
North Little Rock, AR 72117
Phone (501) 413-2450

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1260 City Center Dr
Carmel, IN 46032
Phone (463) 333-9110

38 W Main St
Carmel, IN 46032
Phone (317) 661-9174

950 Park East Blvd
Lafayette, IN 47905
Phone (765) 237-5613

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

311 Service Rd
East Sandwich, MA 02537
Phone (508) 833-4000

2637 N Washington Blvd
Ogden, UT 84414
Phone (385) 244-0489

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1912343773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SERVICE RD",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371370",
            "telephone_number": "508-833-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142696",
            "telephone_number": "508-833-4160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Service Rd",
            "address_purpose": "LOCATION",
            "city": "East Sandwich",
            "state": "MA",
            "postal_code": "025371370",
            "country_code": "US",
            "telephone_number": "508-833-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENARD",
        "first_name": "RYAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "1016629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.