Ryan R Carlisle, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 020591 Issued in PA

Practice address

109 Walker Dr
Edinboro, PA 16412-2237

Phone

(814) 734-1601

Fax

(814) 734-1724

NPI assigned

Jun 24, 2010

Last updated

Apr 22, 2014By the provider in NPPES

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 PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Niagara Therapy L.L.C.

  • Rehabilitation Clinic/Center
  • Erie, PA
  • NPI 1760634166
  Medicare reassignment NPD
• Keystone Rehabilitation Systems, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Dingmans Ferry, PA
  • NPI 1164944245
  Medicare reassignment
• Keystone Rehabilitation Systems, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Macungie, PA
  • NPI 1205386547
  NPD
• Keystone Rehabilitation Systems, Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Butler, PA
  • NPI 1336878941
  NPD
• Keystone Rehabilitation Systems, Inc.

  • Physical Therapy Clinic/Center
  • Birdsboro, PA
  • NPI 1508316944
  NPD
• Keystone Rehabilitation Systems Inc

  dba Keystone Physical Therapy

  • Rehabilitation Clinic/Center
  • Ambridge, PA
  • NPI 1558300574
  NPD (past)
• Niagara Therapy, LLC

  • Physical Therapy Clinic/Center
  • Erie, PA
  • NPI 1427580836
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1962713925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 WALKER DR",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122237",
            "telephone_number": "814-734-1601",
            "fax_number": "814-734-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WALKER DR",
            "city": "EDINBORO",
            "state": "PA",
            "postal_code": "164122237",
            "telephone_number": "814-734-1601",
            "fax_number": "814-734-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLISLE",
        "first_name": "RYAN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT 020591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Bruce
• Tammie Bryson, RDN/LDN
• Denise Frances Bunner
• Michelle A Burgess, P.T.
• Jeffrey Caldwell
• Danielle M Cavalieri
• Deveshi Chandan, DMD
• Marsha Sue Chase
• Christopher Conn
• Jill Connelly, RDN, LDN

• Physical Therapist in Edinboro, PA
• Providers in Edinboro, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.