RYAN NIED (PT) – Physical Therapist, NPI 1164901138

RYAN NIED (PT) is a healthcare provider. based in Roberts, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 14351-24 (WI). The NPI Number for RYAN NIED (PT) is 1164901138

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
RYAN NIED (PT)
NPI
1164901138
Phone
(779) 537-4175
Address
414 S DIVISION ST APT 8
Enumeration Date
10 August 2018
Last Update Date
10 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3606588400
Graduation Year
2018 (8 years ago)
PAC ID
9436409679
Group Practice PAC ID
0143500983
Professional Enrollment ID
I20240927001010
Address ID
WA982714731MA17020AVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for RYAN NIED (PT)

  • South Division Street, Roberts, Saint Croix County, Wisconsin, 54023, United States

    ROBERTS, WI 540239610

    Phone: (779) 537-4175

    Type: Mailing

  • 471, South Arch Avenue, New Richmond, Saint Croix County, Wisconsin, 54017, United States

    NEW RICHMOND, WI 540171832

    Phone: (715) 246-3809

    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: 2024-09-27

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
I20240927001010IPhysical Therapist In Private PracticeWATBD

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 54023)

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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: 0143500983View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeCA
-WA
-CA
-WA
Occupational Therapist In Private PracticeWA
-WA
-WA
-WA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What federal number belongs to RYAN NIED (PT)?
The federal identifier for RYAN NIED (PT) is NPI 1164901138.
Does this profile mean RYAN NIED (PT) is currently active?
Yes — RYAN NIED (PT) appears active in the national provider directory.
What field does RYAN NIED (PT) work in?
You can think of RYAN NIED (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is RYAN NIED (PT)'s primary listing?
We display Roberts, Wisconsin because that is what the record indicates for RYAN NIED (PT).
Is RYAN NIED (PT) a real provider?
This page reflects official NPPES data for NPI 1164901138. Always confirm identity and privileges with the practice and licensing boards.

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