Ryan Jacob Boudreaux, PT, DPT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

070021877 Issued in IL

Practice address

1725 W Harrison St Ste 440
Chicago, IL 60612-3836

Phone

(312) 563-2454

NPI assigned

Aug 20, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rci (WRS) LLCGroup PAC ID 5092624510, 325 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rci (WRS), LLC.

  • Physical Therapy Clinic/Center
  • Mt Prospect, IL
  • NPI 1417561655

  Neurology

  Medicare reassignment Care Compare group NPD
• Rci (WRS), LLC

  • Physical Therapy Clinic/Center
  • Mokena, IL
  • NPI 1568160950
  NPD
• Rci (WRS), LLC.

  • Rehabilitation Clinic/Center
  • Elgin, IL
  • NPI 1821602996
  NPD

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1225437866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 440",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123836",
            "telephone_number": "312-563-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 440",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123836",
            "telephone_number": "312-563-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "RYAN",
        "middle_name": "JACOB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-20",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "GA",
            "license": "PT011641",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "IL",
            "license": "070021877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Boudos, PAC PHYSICIAN ASSIST
• Sarah Elizabeth Boudova, MD
• Sarah M Boudreau-Romano, M.D.
• Hannah C Boudreau, LCSW
• Justine Rae Boudreau, BCBA
• Henrietta Boudros, MA, CCC-SLP
• Meriem Elsayed Boufetta I, MS
• Karina J Bouffard, M.D.
• Fatima Bouftas
• Jay Boughanem, MD

• Neurology Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Neurology Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.