National Provider Identifier
Ryan Matthew Derby, DPT
Ryan Matthew Derby, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Tonawanda, NY and a listed phone number of (716) 862-0567.
Profile Overview
- NPI
- 1821602178
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 03, 2020
- Last Updated
- December 12, 2024
Practice Location
- 2540 Sheridan Dr
- Tonawanda, NY 14150-9410
Phone: (716) 862-0567
Mailing Address
- 703 Granite St Ste 3
- Braintree, MA 02184-5350
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1821602178
- Entity Type
- Individual
- Last Name
- Derby
- First Name
- Ryan
- Middle Name
- Matthew
- Credential
- DPT
- Mailing Street Address
- 703 Granite St Ste 3
- Mailing City
- Braintree
- Mailing State
- MA
- Mailing ZIP Code
- 02184-5350
- Mailing Country
- US
- Mailing Phone
- (781) 961-3370
- Mailing Fax
- (781) 961-1291
- Practice Street Address
- 2540 Sheridan Dr
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-9410
- Practice Country
- US
- Practice Phone
- (716) 862-0567
- Enumeration Date
- September 03, 2020
- Last Updated
- December 12, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 12, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)