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

Ryan Matthew Derby, DPT

Individual provider Physical Therapist · NPI 1821602178

Ryan Matthew Derby, DPT is a Physical Therapist in Private Practice in Tonawanda, New York. Graduated from State University of New York at Buffalo School of Medicine in 2020, 6 years ago. Practices with Sports Physical Therapy of New York, PC, a 84-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina, New York and Texas.

Years since qualifying
6
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NC, NY, TX
In the registry since
2020
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2540 Sheridan Dr
Tonawanda, NY 14150-9410
Phone: (716) 862-0567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 925 S Semoran Blvd Ste 108, Winter Park, FL 32792-5313 — (518) 775-3136
  • 1191 Fordham Drive, Fayetteville, NC 28304-3774 — (910) 484-4653
  • 1225 Dayton Dr, Lantana, TX 76226-6564 — (518) 775-3136

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046502 (NY)
Physical Therapist Taxonomy 225100000X · Licence 1333741 (TX)
Physical Therapist Taxonomy 225100000X · Licence P20003 (NC)

Record details

NPI number1821602178
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 3, 2020
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024
Mailing address703 Granite St Ste 3, Braintree, MA 02184-5350

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Sports Physical Therapy Of New York, P.C. — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tonawanda