Healthcare Provider Details

I. General information

NPI: 1518264779
Provider Name (Legal Business Name): RYAN TOHER PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2011
Last Update Date: 04/17/2023
Certification Date: 04/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1999 PLAINFIELD PIKE UNIT 5
JOHNSTON RI
02919-5725
US

IV. Provider business mailing address

21 LORI ELLEN DR
SMITHFIELD RI
02917-2313
US

V. Phone/Fax

Practice location:
  • Phone: 401-575-8893
  • Fax: 401-232-8061
Mailing address:
  • Phone: 401-829-0890
  • Fax: 401-232-8061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT02358
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: