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

Ryan Samuelson

Individual provider Physical Therapist · NPI 1417702713

Ryan Samuelson is a Physical Therapist in Private Practice in Omaha, Nebraska. Graduated from University of Nebraska College of Medicine in 2024, 2 years ago. Practices with Rock Valley Physical Therapy Center, a 232-clinician group and accepts Medicare assignment.

Years since qualifying
2
Trained at
University of Nebraska College of Medicine
In the registry since
2024
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Practice location Address checks out

2728 N 108th St Ste 103
Omaha, NE 68164-3763
Phone: (402) 939-7939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1417702713
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 19, 2024
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024
Mailing address850 43rd Ave Ste 100, Moline, IL 61265-8401

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Rock Valley Physical Therapy Center — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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