Active NPIIndividual provider

Mr. Ryker G Kallas, DPT

Physical Therapist in Brookfield, Connecticut

NPI Number1902456411
Practice location
60 Old New Milford RD Ste 2A, Brookfield, CT 06804-2434
Fax
—
Last updated
December 20, 2024

Ryker Gregory Kallas is a Physical Therapist based in Brookfield, CT. Ryker Gregory Kallas practices in Brookfield, CT and has the professional credentials of DPT. The NPI Number for Ryker Gregory Kallas is 1902456411 and holds a License No. 27612 (MD). The current practice location address for Ryker Gregory Kallas is 60 Old New Milford RD Ste 2A, Brookfield, CT 06804-2434 and can be reached out via phone at 203-775-6205.

Provider Profile Details

NPI Number
1902456411
Provider Name
Ryker Gregory Kallas
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
60 Old New Milford RD Ste 2A, Brookfield, CT 06804-2434
Phone Number
203-775-6205
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
September 17, 2019
Last Update Date
December 20, 2024
Certification Date
December 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Old New Milford RD Ste 2A
Brookfield, CT 06804-2434
Zip
06804-2434
Phone Number
203-775-6205
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
1730 Bollinger RD
Westminster, MD 21157-7217
City
Westminster
State
MD
Zip
21157-7217
Phone Number
203-733-6789

License Information

License Number (1)
27612
License State (1)
MD
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
12891
License State (2)
CT
Taxonomy (2)
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 Mr. Ryker G Kallas, DPT?

The NPI number of Mr. Ryker G Kallas, DPT is 1902456411. It was assigned on September 17, 2019 and is currently active in the NPPES registry.

What is the specialty of Mr. Ryker G Kallas, DPT?

Mr. Ryker G Kallas, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MD under license number 27612.

Where does Mr. Ryker G Kallas, DPT practice?

The practice location is 60 Old New Milford RD Ste 2A, Brookfield, CT 06804-2434. The office can be reached at 203-775-6205 (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 1902456411 directly on the NPPES registry website.

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