Individual provider Active NPI

Ryan Lee Ardoin, PT, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1225319452
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1208632 Issued in TX
Practice address
630 W 6TH St
Houston, TX 77007-2422
Phone
(713) 489-8182
Fax
(281) 715-7166
NPI assigned
Sep 1, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1208632 TX Primary

Addresses

Primary practice location

630 W 6TH St
Houston, TX 77007-2422

Mailing address

PO Box 130315
Houston, TX 77219-0315
Phone (713) 489-8182

Other practice location 1

420 Sugar Creek Blvd
Sugar Land, TX 77478-3610
Phone (713) 489-8182 ext. 2

Other practice location 2

2313 NW Military Hwy Ste 111
San Antonio, TX 78231-2522
Phone (713) 489-8182 ext. 2

Other identifiers 1

IdentifierTypeStateIssuer
1208632OtherTXTX LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140818001887 TX Practitioner - Physical Therapist in Private Practice 9638396435 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabology PLLC Physical Therapist CurrentSince Mar 15, 2025 Accepting new patients
Oakbend Medical Center Past Accepting new patients
Webster Surgical Specialty Hospital, LLC Past Accepting new patients
Alpha on-Site Physical Therapy Physical Therapist Past Accepting new patients

Locations

630 W 6th St
Houston, TX 77007
Phone (832) 547-3508

420 Sugar Creek Blvd
Sugar Land, TX 77478
Phone 7134898182 ext. 2

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": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1225319452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130315",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772190315",
            "telephone_number": "713-489-8182",
            "fax_number": "713-715-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 6TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072422",
            "telephone_number": "713-489-8182",
            "fax_number": "281-715-7166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Sugar Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774783610",
            "country_code": "US",
            "telephone_number": "713-489-8182 x2",
            "fax_number": "713-715-7166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2313 NW Military Hwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782312522",
            "country_code": "US",
            "telephone_number": "713-489-8182 x2",
            "fax_number": "713-715-7166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARDOIN",
        "first_name": "RYAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1208632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "1208632",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.