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

Ryan Poulin

Individual provider Physical Therapist · NPI 1194370437

Ryan Poulin is a Physical Therapist in Private Practice in Millbury, Massachusetts. Qualified in 2019, 7 years ago. Practices with Greendale Physical Therapy LLC, a 35-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Licensed in
MA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

73 Canal St
Millbury, MA 01527-3253
Phone: (508) 581-8703
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL24511 (MA)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1194370437
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 5, 2019
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing address73 Canal St, Millbury, MA 01527-3253

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Greendale Physical Therapy Llc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Millbury