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

Ryan Bristow, DTP

Individual provider Physical Therapist · NPI 1679300149

Ryan Bristow, DTP is a Physical Therapist in Private Practice in East Syracuse, New York. Qualified in 2023, 3 years ago. Practices with Syracuse Orthopedic Specialists, PLLC, a 115-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

5823 Widewaters Pkwy Ste 3
East Syracuse, NY 13057-3081
Phone: (315) 418-4000
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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 053190 (NY)

Record details

NPI number1679300149
Entity typeIndividual (Type 1)
GenderMale
Credentials DTP
Sole proprietorNo
NPI enumeratedSeptember 18, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024
Mailing addressPo Box 580, Syracuse, NY 13214-0580

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Syracuse Orthopedic Specialists, Pllc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Syracuse