Active NPIIndividual provider

Ryan M Derby, DPT

Physical Therapist in Tonawanda, New York

NPI Number1821602178
Practice location
2540 Sheridan Dr, Tonawanda, NY 14150-9410
Fax
—
Last updated
December 12, 2024

Ryan Matthew Derby is a Physical Therapist based in Tonawanda, NY. Ryan Matthew Derby practices in Tonawanda, NY and has the professional credentials of DPT. The NPI Number for Ryan Matthew Derby is 1821602178 and holds a License No. 1333741 (TX). The current practice location address for Ryan Matthew Derby is 2540 Sheridan Dr, Tonawanda, NY 14150-9410 and can be reached out via phone at 716-862-0567.

Provider Profile Details

NPI Number
1821602178
Provider Name
Ryan Matthew Derby
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
2540 Sheridan Dr, Tonawanda, NY 14150-9410
Phone Number
716-862-0567
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 3, 2020
Last Update Date
December 12, 2024
Certification Date
December 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2540 Sheridan Dr
Tonawanda, NY 14150-9410
Zip
14150-9410
Phone Number
716-862-0567
Tonawanda, NY 14150Get directions →

Provider Business Mailing Address Details

Address
703 Granite St Ste 3
Braintree, MA 02184-5350
City
Braintree
State
MA
Zip
02184-5350
Phone Number
781-961-3370
Fax Number
781-961-1291

License Information

License Number (1)
1333741
License State (1)
TX
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
P20003
License State (2)
NC
Taxonomy (2)
Physical Therapist · 225100000X
License Number (3)
046502
License State (3)
NY
Taxonomy (3)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Ryan M Derby, DPT?

The NPI number of Ryan M Derby, DPT is 1821602178. It was assigned on September 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Ryan M Derby, DPT?

Ryan M Derby, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in TX under license number 1333741.

Where does Ryan M Derby, DPT practice?

The practice location is 2540 Sheridan Dr, Tonawanda, NY 14150-9410. The office can be reached at 716-862-0567 (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 1821602178 directly on the NPPES registry website.

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