RYAN MCDONALD (PT, DPT) – Physical Therapist, NPI 1245800432

RYAN MCDONALD (PT, DPT) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 40QA02014600 (NJ). The NPI Number for RYAN MCDONALD (PT, DPT) is 1245800432

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
RYAN MCDONALD (PT, DPT)
NPI
1245800432
Phone
(631) 580-5200
Address
PO BOX 416495
Enumeration Date
29 June 2021
Last Update Date
29 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8562407609
Graduation Year
2021 (5 years ago)
PAC ID
1052715869
Group Practice PAC ID
0749456119
Professional Enrollment ID
I20210802000607
Address ID
NJ080332806HA413XXAVEX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

4,923 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for RYAN MCDONALD (PT, DPT)

  • PO BOX 416495

    BOSTON, MA 022416495

    Phone: (631) 580-5200

    Fax: (631) 580-5222

    Type: Mailing

  • 737 MAIN ST STE 5

    LUMBERTON, NJ 080483089

    Phone: (609) 832-0505

    Fax: (609) 832-0506

    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: 2021-08-02

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
I20210802000607IPhysical Therapist In Private PracticeNJTBD

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 02241)

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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: 0749456119View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What number should I use to identify RYAN MCDONALD (PT, DPT) for billing?
Administrative and clinical systems typically use NPI 1245800432 for RYAN MCDONALD (PT, DPT).
Is RYAN MCDONALD (PT, DPT)'s NPI status active today?
Active status means RYAN MCDONALD (PT, DPT)'s NPI record is not deactivated in the public file.
How should patients interpret RYAN MCDONALD (PT, DPT)'s specialty?
The extract shows Physical Therapist for RYAN MCDONALD (PT, DPT). Clinical services aligned with this taxonomy classification.
Is RYAN MCDONALD (PT, DPT) tied to Boston, Massachusetts?
If you are local to Boston, Massachusetts, RYAN MCDONALD (PT, DPT) may be relevant to your search.
Can I export RYAN MCDONALD (PT, DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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