Provider Demographics
NPI:1518264779
Name:TOHER, RYAN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:TOHER
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 LORI ELLEN DR
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02917-2313
Mailing Address - Country:US
Mailing Address - Phone:401-829-0890
Mailing Address - Fax:401-232-8061
Practice Address - Street 1:1999 PLAINFIELD PIKE UNIT 5
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:RI
Practice Address - Zip Code:02919-5725
Practice Address - Country:US
Practice Address - Phone:401-575-8893
Practice Address - Fax:401-232-8061
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02358225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist