MEDICARE: DR. RYAN CHRISTOPHER NG PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1902430671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RYAN CHRISTOPHER NG PT, DPT

Provider Business Mailing Address
First Line	:	6958 EMERSON LN
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94582-5967
Country	:	US
Telephone Number	:	925-895-5811
Fax Number	:

Provider Business Practice Location Address
First Line	:	6958 EMERSON LN
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94582-5967
Country	:	US
Telephone Number	:	925-895-5811
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2020
Last Update Date	:	02/11/2022

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