Individual provider Active NPI

Jason Christian Ryu, PT, DPT

  • Physical Therapist
  • Menlo Park, CA
National Provider Identifier
1912424862
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
308027 Issued in CA
Practice address
3532 Alameda de Las Pulgas
Menlo Park, CA 94025-6510
Phone
(650) 561-9589
NPI assigned
Aug 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 308027 CA Primary

Addresses

Primary practice location

3532 Alameda de Las Pulgas
Menlo Park, CA 94025-6510

Mailing address

597 10TH Ave Apt 2S
New York, NY 10036-3090
Phone (214) 284-8072

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829003603 CA Practitioner - Physical Therapist in Private Practice 6709150089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Texas Medical Branch at Galveston, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
More Physical Therapy IncGroup PAC ID 5294783122, 51 clinicians

Practice addresses (Care Compare)

1633 Bayshore Hwy
Suite 145
Burlingame, CA 94010-1530
Phone (650) 239-9075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042191NYMDPharmacist
308027CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
More Physical Therapy, Inc. Physical Therapist CurrentSince Aug 4, 2025 Accepting new patients
Select Cal Physical Therapy PC CurrentSince Nov 17, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Select Cal Physical Therapy PC Physical Therapist Current Accepting new patients
Holt Chiropractic Offices, P.C. Past Accepting new patients

Locations

1633 Old Bayshore Hwy
Ste 145
Burlingame, CA 94010
Phone (650) 239-9075

3532 Alameda de las Pulgas
Menlo Park, CA 94025
Phone (650) 561-9589

268 Redwood Shores Pkwy
Redwood City, CA 94065
Phone (650) 591-9581

2145 The Alameda
San Jose, CA 95126
Phone (408) 248-6886

Organizations & group practices 5

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": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1912424862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "597 10TH AVE APT 2S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363090",
            "telephone_number": "214-284-8072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 ALAMEDA DE LAS PULGAS",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940256510",
            "telephone_number": "650-561-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYU",
        "first_name": "JASON",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "308027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.