RYAN GODFREY – Physical Therapist, NPI 1972484087

RYAN GODFREY is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 11-07994 (KS). The NPI Number for RYAN GODFREY is 1972484087

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
RYAN GODFREY
NPI
1972484087
Phone
(726) 202-3039
Address
1650 LYNDON FARM CT STE 300
Enumeration Date
8 September 2025
Last Update Date
8 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6209683134
Graduation Year
2025 (1 year ago)
PAC ID
1951805985
Group Practice PAC ID
3678524709
Professional Enrollment ID
I20250922001282
Address ID
KS671522802WE513XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for RYAN GODFREY

  • 1650 LYNDON FARM CT STE 300

    LOUISVILLE, KY 402235005

    Phone: (726) 202-3039

    Type: Mailing

  • 513 E 16TH ST

    WELLINGTON, KS 671522802

    Phone: (620) 968-3134

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250922001282IPhysical Therapist In Private PracticeKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678524709View full group profile
NameSpecialtyState
-KS
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKY
-KS
Physical Therapist In Private PracticeKS
-KS
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

What NPI should I save for RYAN GODFREY?
Save NPI 1972484087 if you need a stable reference for RYAN GODFREY.
Does this profile mean RYAN GODFREY is currently active?
Yes — RYAN GODFREY appears active in the national provider directory.
Does RYAN GODFREY list a primary specialty?
If you are matching referrals, note Physical Therapist for RYAN GODFREY. Clinical services aligned with this taxonomy classification.
Does RYAN GODFREY practice in Kentucky?
You will see Louisville, Kentucky on file for RYAN GODFREY alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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