Individual provider Active NPI

Ryne Richardson, DPT

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1083922645
Registry record updated Nov 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60189872 Issued in WA
Practice address
9762 NE 119TH Way
Kirkland, WA 98034-8955
Phone
(425) 823-8119
Fax
(425) 823-8282
NPI assigned
Sep 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60189872 WA Primary
Physical Therapist 225100000X 2010030201 MO

Addresses

Primary practice location

9762 NE 119TH Way
Kirkland, WA 98034-8955

Mailing address

16083 SW Upper Boones Ferry Rd
Suite 300
Tigard, OR 97224-7736
Phone (800) 219-8835

Other identifiers 1

IdentifierTypeStateIssuer
1083922645MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110302000255 WA Practitioner - Physical Therapist in Private Practice 3375724925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youthful Horizons Physical Therapy P SGroup PAC ID 2062301468, 5 clinicians

Practice addresses (Care Compare)

325 S University Rd
Suite 101
Spokane Valley, WA 99206-6164
Phone (509) 921-9798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010030201MOMDPhysical Therapist
PT60189872WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Youthful Horizons Physical Therapy P S Physical Therapist CurrentSince Jan 14, 2026 Accepting new patients
Bridle Trails Physical Therapy Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist PastSince Jul 10, 2012 Accepting new patients
Whitesel Protherapy Physical Therapist PastSince Aug 6, 2012 Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

325 S University Rd
Ste 101
Spokane Valley, WA 99206
Phone (509) 921-9798

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352678400000",
    "number": "1083922645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16083 SW UPPER BOONES FERRY RD",
            "address_2": "SUITE 300",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972247736",
            "telephone_number": "800-219-8835",
            "fax_number": "503-639-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9762 NE 119TH WAY",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348955",
            "telephone_number": "425-823-8119",
            "fax_number": "425-823-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "RYNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2012-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60189872",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2010030201",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083922645",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.