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

Ryan J Harty

Individual provider Physical Therapist · NPI 1083382873

Ryan J Harty is a Physical Therapist in Private Practice in Tacoma, Washington. Qualified in 2021, 5 years ago. Practices with Performance Rehabilitation of Western New England LLC, a 201-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Washington.

Years since qualifying
5
Licensed in
MA, WA
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

15703 Pacific Ave S Ste B
Tacoma, WA 98444-4675
Phone: (253) 531-4100
Fax: (253) 531-3795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1065 E Tucson Marketplace Blvd Ste 155, Tucson, AZ 85713-6563 — (520) 822-8640
  • 7 Reservoir Rd, Beverly, MA 01915-5501 — (978) 524-0333

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X (WA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 000025728 (MA)

Record details

NPI number1083382873
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 6, 2021
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Performance Rehabilitation Of Western New England Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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