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

Ryan Wysocki

Individual provider Occupational Therapist · NPI 1245780832

Ryan Wysocki is an Occupational Therapist in Private Practice in River Edge, New Jersey. Qualified in 2016, 10 years ago. Practices with Professional Occupational and Physical Therapy, PLLC, a 493-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016
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Practice location Address checks out

530 Kinderkamack Rd
River Edge, NJ 07661-2140
Phone: (201) 523-9207
Fax: (201) 523-9208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR00754700 (NJ)

Record details

NPI number1245780832
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 7, 2016
Last updated in NPPESOctober 7, 2016
Mailing address2142 Utopia Pkwy, Whitestone, NY 11357-4142

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Professional Occupational And Physical Therapy, Pllc — 493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in River Edge