RYAN P HIGGINS PT
NPI 1730189564
Physical Therapist in Damariscotta, ME

Active since July 22, 2005Accepts Medicare Assignment
35 MILES ST, DAMARISCOTTA, ME 04543(207) 563-4316 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 20, 2026, Apr 8, 2025, Apr 20, 2021 (3 updates tracked since 2021).

About Ryan P Higgins Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN P HIGGINS PT (NPI 1730189564) is an individual physical therapist in Damariscotta, Maine, licensed in Wisconsin (17637) and active in the NPI registry since July 2005. He maintains a secondary practice location in Woodruff and is a graduate of Other (1998).

NPPES Registry Identity

NPI1730189564
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameRYAN P HIGGINSCredential: PT
Location Address35 MILES STDamariscotta, ME 04543-4047
Mailing Address35 Miles StDamariscotta, ME 04543-4047 · (207) 563-4316
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 22, 2005
Last NPPES UpdateApril 20, 20263 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1730189564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in WI · 17637✔ Licensed in ME · 2853
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
35 MILES ST, Damariscotta, ME 04543

Secondary Practice Location 1

Location 11446 1st AveWoodruff, WI 54568-9470 · Phone (715) 358-0610

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan P Higgins Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638159262
PECOS Enrollment IDI20260511001342

Medicare Billing Reassignments

6

Medicare enrollment records show Ryan Higgins reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
Clinic/Center
9576 HIGHWAY 70
Minocqua, WI 54548
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04543 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
35 MILES ST
DAMARISCOTTA, ME 04543
Nurse Anesthetist, Certified Registered
35 MILES ST
DAMARISCOTTA, ME 04543
Nurse Anesthetist, Certified Registered
35 MILES ST
DAMARISCOTTA, ME 04543
Physical Medicine & Rehabilitation
35 MILES ST
DAMARISCOTTA, ME 04543
Speech-Language Pathologist
35 MILES ST
DAMARISCOTTA, ME 04543
Occupational Therapist
35 MILES ST
DAMARISCOTTA, ME 04543
Family Medicine
35 MILES ST
DAMARISCOTTA, ME 04543
Hospitalist
35 MILES ST
DAMARISCOTTA, ME 04543

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Higgins's NPI number?

The NPI number for Ryan Higgins is 1730189564. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Ryan Higgins located?

Ryan Higgins practices at 35 Miles St, Damariscotta, ME 04543. The listed phone number is (207) 563-4316.

What is Ryan Higgins's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ryan Higgins enrolled in Medicare?

Yes. Ryan Higgins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ryan Higgins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Higgins reassigns Medicare benefits to 6 organizations: Beaver Dam Community Hospitals Inc (Waupun, WI), Mchs Hospitals Inc (Minocqua, WI), Marshfield Clinic Inc (Marshfield, WI), Flambeau Hospital Inc (Park Falls, WI), Memorial Hospital, Inc (Neillsville, WI) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ryan Higgins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ryan Higgins was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.