Ryan Physical Therapy Associates

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

15286 Issued in MD

Legal business name

RYAN PHYSICAL THERAPY ASSOCIATES

Practice address

1190 Mount Aetna Rd
Hagerstown, MD 21740-6833

Phone

(301) 797-4572

Fax

(301) 797-4863

NPI assigned

Feb 7, 2007

Last updated

Aug 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Daniel Ryan, PT, DPTNPI 1255327359

Title

President

Phone

(301) 797-4572

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen Daniel Ryan, P.T.

  • Physical Therapist
  • Hagerstown, MD
  • NPI 1255327359
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1932249422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 MOUNT AETNA RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406833",
            "telephone_number": "301-797-4572",
            "fax_number": "301-797-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 MOUNT AETNA RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406833",
            "telephone_number": "301-797-4572",
            "fax_number": "301-797-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN PHYSICAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-797-4572",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "15286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "934400400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zsanee Russell
• David Michael Russo, P.D.
• Lydia Russo, CRNA
• David Forrest Rutherford, LCSWC MSSW
• Amber Rutkowski, CRNP
• Deborah Jean Ryan, PT, DPT
• Jacqueline Ryan, MD
• Stephen Daniel Ryan, P.T.
• George P Saba II, M.D.
• Sarah Sabol, MS

• Clinic/Center in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.