IndividualActive
Ryan Tully, D.P.T
NPI 1114200508 · Physical Therapist · Maplewood, MN
Provider details
- NPI number
- 1114200508
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- D.P.T
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1655 Beam Ave
Maplewood, MN 55109-1163
Phone: (231) 846-8766
Street-level locationGet directions
Mailing address
500 Osborne Rd Ne Ste 365
Fridley, MN 55432-2769
Additional practice locations (1)
- 500 Osborne Rd Ne Ste 365Fridley, MN 55432-2769Phone: (763) 236-2153
Registry dates
- Enumerated
- 2011-09-22
- Last updated
- 2021-12-22
- Certified
- 2021-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.