Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ryan Niedzielko, PT

Individual provider Physical Therapist · NPI 1073961140

Dr. Ryan Niedzielko, PT is a Physical Therapist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

4530 E Ray Rd Ste 110
Phoenix, AZ 85044-6094
Phone: (480) 759-1668
Fax: (480) 759-1669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 12225 (AZ)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 12225 (AZ)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 12225 (AZ)

Record details

NPI number1073961140
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 31, 2016
Last updated in NPPESMay 31, 2016

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