Healthcare Provider Details

I. General information

NPI: 1053222836
Provider Name (Legal Business Name): RYAN DRYDEN PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 MEDICAL CENTER DR
SEAMAN OH
45679-8002
US

IV. Provider business mailing address

1830 BROWN HILL RD
MANCHESTER OH
45144-9319
US

V. Phone/Fax

Practice location:
  • Phone: 937-386-3400
  • Fax:
Mailing address:
  • Phone: 937-822-1665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT022414
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: