DR. RYAN ZACHARY WILSON (NPI# 1679171342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679171342 |
| Entity Type | Individual |
| Full Name | DR. RYAN ZACHARY WILSON |
| Credential | PT, DPT |
| Practice Address |
342 Fifth Ave Pelham NY 10803-1204 |
| Practice Telephone | 9147381748 |
| Practice Fax Number | 9147381749 |
| Mailing Telephone | 9147381748 |
| Mailing Fax Number | 9147381749 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
046507 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
40QA01961200 | NJ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY PHYSICAL THERAPY LICENSE | 046507 | 01 |
| NJ | NJ PT LICENSE | 40QA01961200 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796093 | Ryan Alan Wilson | Physical Therapist | 1020 Queensgate Dr Ste B, Richland, WA 99352-9123 | 2020-10-01 |
| 1346889359 | Ryan Wilson | Occupational Therapist | 8320 5th Ave Ne Ste A, Seattle, WA 98115-4174 | 2019-12-23 |
| 1326530007 | Ryan Wilson | Social Worker | 1900 E Northern Pkwy Ste 300, Baltimore, MD 21239-2113 | 2018-05-30 |
| 1679920482 | Ryan Scott Wilson | Dentist | 3706 Davis Stuart Rd, Lewisburg, WV 24901-9463 | 2016-05-22 |
| 1174908651 | Ryan Wilson | Social Worker | 1905 W 8th St, #209, Loveland, CO 80537-5224 | 2015-07-24 |
| 1780811984 | Ryan Hastiin Wilson | Dentist | 6810 Menaul Blvd Ne Ste B, Albuquerque, NM 87110 | 2009-06-15 |
| 1407832454 | Ryan J Wilson | Optometrist | 422 South State Street, Geneseo, IL 61254-1536 | 2005-12-21 |
| 1922094184 | Ryan D Wilson | Emergency Medicine | 800 24th Ave, Norman, OK 73069 | 2005-09-23 |
| 1396343463 | Ryan Wilson | Case Manager/Care Coordinator | 1111 W Mockingbird Ln Ste 1030, Dallas, TX 75247-5028 | 2020-10-12 |
| 1124657556 | Ryan Wilson | Nurse Practitioner | 2761 Agnes Ln, Myrtle Beach, SC 29577-2029 | 2020-04-07 |
| Street Address |
342 FIFTH AVE |
| City | PELHAM |
| State | NY |
| Zip Code | 10803-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508936790 | Michael V Camperlengo | Physical Therapist | 342 Fifth Ave, Pelham, NY 10803-1204 | 2006-11-08 |
| 1669019048 | Kevin Joseph Whelan | Physical Therapist | 342 Fifth Ave, Pelham, NY 10803-1204 | 2019-12-05 |
| 1386290161 | Victor Gondar | Physical Therapist | 342 Fifth Ave, Pelham, NY 10803-1204 | 2019-08-16 |
| 1487159323 | Hana Raine Gross | Specialist/Technologist | 342 Fifth Ave, Pelham, NY 10803-1204 | 2018-03-23 |
| 1194237503 | Jade Somboonthum | Physical Therapist | 342 Fifth Ave, Pelham, NY 10803-1204 | 2017-10-26 |
| 1629521463 | Talia Crystal | Physical Therapist | 342 Fifth Ave, Pelham, NY 10803-1204 | 2016-07-28 |
| 1811440688 | Sharine Estaris | Physical Therapist | 342 Fifth Ave, Symmetry Physical Therapy, Pelham, NY 10803-1204 | 2016-07-28 |
| 1699161869 | Amanda Lee Bachmann | Specialist/Technologist | 342 Fifth Ave, Pelham, NY 10803-1204 | 2015-04-14 |
| 1770979924 | Bryan Lynd | Physical Therapist | 342 Fifth Ave, Pelham, NY 10803-1204 | 2015-04-14 |
| 1962801829 | Yoko Koike | Specialist/Technologist | 342 Fifth Ave, Pelham, NY 10803-1204 | 2014-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030126 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 820-825 Pelham Pkwy, Pelham Manor, NY 10803 | 2020-10-13 |
| 1194087254 | Irina Kessler | Dentist | 87 Wolf's Lane, Pelham, NY 10803 | 2012-06-13 |
| 1639492101 | Kristine Elizabeth Sheerin | Pharmacist | 661 Hillside Road, Pelham Manor, NY 10803 | 2010-03-11 |
| 1285965939 | Sandra Zupicich | Psychologist | 8 Shoreview Circle, Pelham Manor, NY 10803 | 2010-01-20 |
| 1326282849 | Usv Optical Inc. | Technician/Technologist | 825 Pelham Parkway, Pelham Manor, NY 10803 | 2009-04-28 |
| 1205086477 | Bertielee Irving | Licensed Practical Nurse | 327 Fifth Avenue, First Floor Barksdale Health Care Services Inc, Pelham, NY 10803 | 2008-09-24 |
| 1588810105 | Sapna Shah | Physical Therapist | 342 Fifth Avenue, Symmetry Physical Therapy, Pelham, NY 10803 | 2008-08-14 |
| 1215118674 | Maryann Salerno Qureshi | Social Worker | 87 Wolfs Lane, 3rd Floor, Pelham, NY 10803 | 2007-11-14 |
| 1407040819 | Bonnie Markey | Social Worker | #9 The Hamlet, Pelham, NY 10803 | 2007-08-29 |
| 1497894414 | Nyfoundling Hospital Aka St Agathas Pelham Manor Icf | Intermediate Care Facility, Mentally Retarded | 1 Shoreview Circle, Pelham Manor, Pelham Manor, NY 10803 | 2007-02-06 |
| Find all providers in zip 10803 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770979924 | Bryan Lynd | Physical Therapist | 342 Fifth Ave, Pelham, NY 10803-1204 | 2015-04-14 |
| 1245537109 | Nathaniel David Coronado | Physical Therapist | 120 Cahaba Valley Pkwy, Suite 100, Pelham, AL 35124-1185 | 2011-02-11 |
| 1104993427 | Symmetry Physical Therapy & Wellness, LLC | Physical Therapist | 342 Fifth Ave, Pelham, NY 10803-1204 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760152 | Molly Ripp | Physical Therapist | 1165 Northern Blvd Ste 403, Manhasset, NY 11030-3048 | 2020-11-02 |
| 1982202024 | Integrated Pt2 Pllc | Physical Therapist | 4720 Center Blvd Apt 3006, Long Island City, NY 11109-5648 | 2020-10-12 |
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1912514704 | Hochung Jeon | Physical Therapist | 4545 Center Blvd Apt 904, Long Island City, NY 11109-5917 | 2020-09-25 |
| 1831704469 | Colleen M Brough | Physical Therapist | 710 W 168th St Ste 336, New York, NY 10032-3726 | 2020-09-10 |
| 1225641731 | Kyle Dillon | Physical Therapist | 667 Stoneleigh Ave Ste 11, Carmel, NY 10512-2454 | 2020-08-25 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1194335059 | Donn Samson | Physical Therapist | 8762 52nd Ave Fl 2, Elmhurst, NY 11373-3938 | 2020-08-05 |
| 1679195499 | Vital Rehab LLC | Physical Therapist | 3165 Nostrand Ave Apt 4e, Brooklyn, NY 11229-3243 | 2020-05-14 |
| 1508485657 | Melvin Varghese | Physical Therapist | 172 Hoover Rd, Yonkers, NY 10710-3409 | 2020-04-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.