Ryan Chevrier, DPT

Individual provider Active NPI Physical Therapist · W Harrison, NY

NPI 1962957084 · NPPES record last updated Aug 18, 2016

Key facts

NPI
1962957084
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
040398 (NY)
Practice address
1 Westchester Park Dr
W Harrison, NY 10604-3428
Phone
(914) 290-5158
NPI assigned
Aug 18, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
J.R. Physical Therapy and Performance, PLLC (5 clinicians)

Practice addresses (Care Compare)

450 N State Rd
Briarcliff, NY 10510-1451
Phone (914) 488-5763

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20161121000103 NY Practitioner - Physical Therapist in Private Practice 7911286653 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
040398NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
J.R Physical Therapy and Performance, PLLC Current
since Nov 24, 2019
Accepting new patients
Ellis Hospital Current
since Aug 15, 2016
Accepting new patients
Ellis Hospital Current
since Aug 15, 2016
Accepting new patients
Lifetime Physical Therapy & Chiropractic PLLC Physical Therapist Past
since Aug 1, 2015
Accepting new patients

Locations

450 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 488-5763

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040398 NY Yes

Addresses

Primary practice location

1 Westchester Park Dr
W Harrison, NY 10604-3428

Mailing address

7 Watch Hill Rd
Pleasantville, NY 10570-2534
Phone (917) 359-8901

Other providers in W Harrison, NY

All providers in W Harrison, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.