LISA SUHYUN RYOO OTR/L
NPI 1912593138
Occupational Therapist in Wyckoff, NJ

Active since December 13, 2020Accepts Medicare Assignment
301 SICOMAC AVE, WYCKOFF, NJ 07481(201) 655-8424 Get Directions Write a Review

NPPES record last updated: December 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Suhyun Ryoo Otr/l NPPES

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

LISA SUHYUN RYOO OTR/L (NPI 1912593138) is an individual occupational therapist in Wyckoff, New Jersey, licensed in New Jersey (46TR00957200) and active in the NPI registry since December 2020. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1912593138
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameLISA SUHYUN RYOOCredential: OTR/L
Location Address301 SICOMAC AVEWyckoff, NJ 07481-2159
Mailing Address60 Cedar StRidgefield Park, NJ 07660-1624 · (201) 655-8424
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 13, 2020
NPPES CertifiedDecember 13, 2020
✔ NPI 1912593138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NJ · 46TR00957200
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
301 SICOMAC AVE, Wyckoff, NJ 07481

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

Lisa Suhyun Ryoo Otr/l 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 ID2466860713
PECOS Enrollment IDI20210426002175

Medicare Billing Reassignment

Medicare enrollment records show Lisa Ryoo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
749 MARIN AVE # 1
Lyndhurst, NJ 07071
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 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.

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.

Speech-Language Pathologist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Physical Therapy Assistant
301 SICOMAC AVE
WYCKOFF, NJ 07481
Marriage & Family Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Occupational Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Physical Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Occupational Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Occupational Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481
Occupational Therapist
301 SICOMAC AVE
WYCKOFF, NJ 07481

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 Lisa Ryoo's NPI number?

The NPI number for Lisa Ryoo is 1912593138. It was assigned to this individual provider in the NPPES registry on December 13, 2020.

Where is Lisa Ryoo located?

Lisa Ryoo practices at 301 Sicomac Ave, Wyckoff, NJ 07481. The listed phone number is (201) 655-8424.

What is Lisa Ryoo's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Lisa Ryoo enrolled in Medicare?

Yes. Lisa Ryoo 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 organization bills Medicare for Lisa Ryoo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Ryoo reassigns Medicare benefits to Theraflex Physical Therapy LLC (Lyndhurst, NJ). The 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 Lisa Ryoo'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 Lisa Ryoo was last updated on December 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.