Lisa Suhyun Ryoo, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00957200 Issued in NJ

Practice address

301 Sicomac Ave
Wyckoff, NJ 07481-2159

Phone

(201) 655-8424

NPI assigned

Dec 13, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theraflex Physical Therapy LLCGroup PAC ID 9537682455, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Theraflex Physical Therapy LLC

  • Physical Therapist
  • Lyndhurst, NJ
  • NPI 1851196208
  Care Compare group

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1912593138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CEDAR ST",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076601624",
            "telephone_number": "201-655-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SICOMAC AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812159",
            "telephone_number": "201-655-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYOO",
        "first_name": "LISA",
        "middle_name": "SUHYUN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00957200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Rosenstein
• Jeffrey Lane Rothenberg, DDS
• Andrew J Ruisch, DMD
• Christie R Rutherford, PT
• John Benjamin Ryan, COTA/L
• Debra Maria Sacco, FNP-C
• Jacob Peter Saeman, R.PH.
• Joji Sai, PTA
• Mariam Samy Said, APN
• Kaitlyn Julia Sautner, M.S., CF-SLP

• Occupational Therapist in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.