Ryan P Tezak, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

30166 Commerce Dr
Millsboro, DE 19966

Phone

(302) 663-9890

Fax

(302) 663-9891

NPI assigned

Sep 26, 2019

Sex

Male

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

Enrolled in DE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Benchmark Physical Therapy of Delaware LLCGroup PAC ID 4284964669, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Benchmark Physical Therapy of Delaware LLC

  • Physical Therapist
  • Millsboro, DE
  • NPI 1598222390
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1962053330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30166 COMMERCE DR",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "19966",
            "telephone_number": "302-663-9890",
            "fax_number": "302-663-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEZAK",
        "first_name": "RYAN",
        "middle_name": "P",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SW Medical Associates PA Inc
• Elsa S Tabrez, MD
• Jesse Tallyen, LMSW, LCDP, CADC
• Alexandra Taylor, LCSW
• Susan L Taylor, CRNP
• The Nemours Foundation
• The Pearl Clinic, LLC
• Stacy Lee Thomas, FNP-C
• Hannah Ramsey Thompson
• Thrift Drug Inc

• Physical Therapist in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.