DR. RYAN P TULLY (D.P.T) – Physical Therapist, NPI 1114200508

DR. RYAN P TULLY (D.P.T) is a healthcare provider. based in Maplewood, Minnesota. specializing in Physical Therapist. They hold the professional credentials D.P.T. The NPI Number for DR. RYAN P TULLY (D.P.T) is 1114200508

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. RYAN P TULLY (D.P.T)
NPI
1114200508
Phone
(651) 275-4706
Address
2515 WHITE BEAR AVE N STE A11
Enumeration Date
22 September 2011
Last Update Date
22 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517796543
Graduation Year
2010 (16 years ago)
PAC ID
1850525007
Group Practice PAC ID
4486552593
Professional Enrollment ID
I20131002000145
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:14State licenses:0Digital endpointsOther names

Provider Addresses for DR. RYAN P TULLY (D.P.T)

  • 2515 WHITE BEAR AVE N STE A11

    MAPLEWOOD, MN 551095118

    Phone: (651) 275-4706

    Type: Mailing

  • 500 OSBORNE RD NE STE 365

    FRIDLEY, MN 554322769

    Phone: (632) 362-1537

    Type: Mailing

  • 1655 BEAM AVE

    MAPLEWOOD, MN 551091163

    Phone: (231) 846-8766

    Type: Location

  • 500 Osborne Rd NE Ste 365

    Fridley, MN 554322769

    Phone: (763) 236-2153

    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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 55109)

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Provider's Procedures

DR. RYAN P TULLY (D.P.T) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes37472
PHYSICAL THERAPYMN97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes13247

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: 4486552593View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-WI
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN

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Frequently asked questions

What federal number belongs to DR. RYAN P TULLY (D.P.T)?
The federal identifier for DR. RYAN P TULLY (D.P.T) is NPI 1114200508.
Is DR. RYAN P TULLY (D.P.T)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. RYAN P TULLY (D.P.T)?
The page reflects Physical Therapist for DR. RYAN P TULLY (D.P.T). Clinical services aligned with this taxonomy classification.
Does DR. RYAN P TULLY (D.P.T) practice in Minnesota?
You will see Maplewood, Minnesota on file for DR. RYAN P TULLY (D.P.T) 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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