Active NPIIndividual providerSole proprietor

Mr. John B Ryan, COTA/L

Occupational Therapy Assistant in Wyckoff, New Jersey

NPI Number1710644604
Practice location
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Fax
—
Last updated
November 26, 2021

John Benjamin Ryan is an Occupational Therapy Assistant based in Wyckoff, NJ. John Benjamin Ryan practices in Wyckoff, NJ and has the professional credentials of COTA/L. The NPI Number for John Benjamin Ryan is 1710644604 and holds a License No. 46TA09218100 (NJ). The current practice location address for John Benjamin Ryan is 301 Sicomac Ave, Wyckoff, NJ 07481-2159 and can be reached out via phone at 201-848-5200.

Provider Profile Details

NPI Number
1710644604
Provider Name
John Benjamin Ryan
Credential
COTA/L
Provider Entity Type
Individual
Gender
Male
Address
301 Sicomac Ave, Wyckoff, NJ 07481-2159
Phone Number
201-848-5200
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 26, 2021
Last Update Date
November 26, 2021
Certification Date
November 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
301 Sicomac Ave
Wyckoff, NJ 07481-2159
Zip
07481-2159
Phone Number
201-848-5200
Wyckoff, NJ 07481Get directions →

Provider Business Mailing Address Details

Address
5-4 Vernon CT
Waldwick, NJ 07463-1641
City
Waldwick
State
NJ
Zip
07463-1641
Phone Number
201-888-8895

License Information

License Number
46TA09218100
License State
NJ
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Occupational Therapy Assistants near Wyckoff, NJ

View all Occupational Therapy Assistants in Wyckoff →

Frequently Asked Questions

What is the NPI number of Mr. John B Ryan, COTA/L?

The NPI number of Mr. John B Ryan, COTA/L is 1710644604. It was assigned on November 26, 2021 and is currently active in the NPPES registry.

What is the specialty of Mr. John B Ryan, COTA/L?

Mr. John B Ryan, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09218100.

Where does Mr. John B Ryan, COTA/L practice?

The practice location is 301 Sicomac Ave, Wyckoff, NJ 07481-2159. The office can be reached at 201-848-5200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710644604 directly on the NPPES registry website.

Browse related providers