Individual provider Active NPI

Sandra Anne Ryan, PT

  • Physical Therapist
  • Plattsburgh, NY
National Provider Identifier
1922245539
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011663-1 Issued in NY
Practice address
133 Margaret St
Suite 117
Plattsburgh, NY 12901-2926
Phone
(518) 565-4798
Fax
(518) 565-4509
NPI assigned
Jan 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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 011663-1 NY Primary

Addresses

Primary practice location

133 Margaret St
Suite 117
Plattsburgh, NY 12901-2926

Mailing address

101 Emmons St.
Dannemora, NY 12929-0844
Phone (518) 492-9759

Other identifiers 1

IdentifierTypeStateIssuer
011663-1OtherNYPHYSICAL THERAPY REGISTRATION CERTIFICATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011663-1NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1922245539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EMMONS ST.",
            "city": "DANNEMORA",
            "state": "NY",
            "postal_code": "129290844",
            "telephone_number": "518-492-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 MARGARET ST",
            "address_2": "SUITE 117",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012926",
            "telephone_number": "518-565-4798",
            "fax_number": "518-565-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "SANDRA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "011663-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY REGISTRATION CERTIFICATE",
            "identifier": "011663-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.