Provider Demographics
NPI:1881632826
Name:RYLAND, STEVE P (PT, DPT)
Entity type:Individual
Prefix:MR
First Name:STEVE
Middle Name:P
Last Name:RYLAND
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 1:2030 S PATRICK DR STE 3
Mailing Address - Street 2:
Mailing Address - City:INDIAN HARBOUR BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-4400
Mailing Address - Country:US
Mailing Address - Phone:321-622-5707
Mailing Address - Fax:321-622-8557
Practice Address - Street 1:2030 S PATRICK DR STE 3
Practice Address - Street 2:
Practice Address - City:INDIAN HARBOUR BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-4400
Practice Address - Country:US
Practice Address - Phone:321-622-5707
Practice Address - Fax:321-622-8557
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT145772251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT-14577OtherSTATE OF FL. PT LICENSE
FLY07FTOtherFLORIDA BLUE BCBS PROVIDER NUMBER
DCY8760YMedicare PIN