RYAN POULIN – Physical Therapist, NPI 1194370437

RYAN POULIN is a healthcare provider. based in Millbury, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PTL24511 (MA). The NPI Number for RYAN POULIN is 1194370437

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
RYAN POULIN
NPI
1194370437
Phone
(508) 581-8703
Address
73 CANAL ST
Enumeration Date
5 August 2019
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087537780
Graduation Year
2019 (7 years ago)
PAC ID
8022347210
Group Practice PAC ID
9133013691
Professional Enrollment ID
I20190913000636
Address ID
MA015452640SH280XXTPKE300

Contacts

Secure Messaging
rpoulin@selectmedical.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness95
Years active:6State licenses:1Other names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

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Provider Addresses for RYAN POULIN

  • 73, Canal Street, Millbury, Worcester County, Massachusetts, 01527, United States

    MILLBURY, MA 015273253

    Phone: (508) 581-8703

    Mailing address matches the actual address.

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: 2019-09-13

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
I20190913000636IPhysical Therapist In Private PracticeMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes542100$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes45197$0
97140Therapy procedure using manual technique, each 15 minutes40183$0
97530Therapy procedure using functional activities36981$0
97150Therapy procedure in a group setting12556$0
View full utilization report →

Insurance plans in this area (ZIP 01527)

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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: 9133013691View full group profile
NameSpecialtyState
-MA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Occupational Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

How is RYAN POULIN identified in CMS data?
CMS-hosted NPPES data lists RYAN POULIN with NPI 1194370437.
Does CMS list RYAN POULIN as active?
Yes — RYAN POULIN is active in the NPI listing used on this page.
What taxonomy line describes RYAN POULIN?
For research purposes, treat RYAN POULIN as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect RYAN POULIN on a map?
Expect Millbury, Massachusetts as a primary anchor for RYAN POULIN unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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