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

Ryan Peter Busalacchi, DPT

Individual provider Physical Therapist · NPI 1508548900

Ryan Peter Busalacchi, DPT is a Physical Therapist in Private Practice in Jacksonville, North Carolina. Qualified in 2023, 3 years ago. Practices with Providence Physical Therapy, LLC, a 4-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
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

201 Williamsburg Pkwy
Jacksonville, NC 28546-6856
Phone: (252) 634-2676
Fax: (910) 353-5610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 775 W Corbett Ave Ste 2, Swansboro, NC 28584-8563 — (910) 325-0211
  • 775 W Corbett Ave, Swansboro, NC 28584-8562 — (252) 726-1802

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P22454 (NC)

Record details

NPI number1508548900
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 4, 2023
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024
Mailing address201 Williamsburg Pkwy, Jacksonville, NC 28546-6856

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 Providence Physical Therapy, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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