Ryan Miyashiro, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070022334 Issued in IL

Practice address

1122 Houbolt Rd
Joliet, IL 60431-9063

Phone

(779) 260-2700

Fax

(779) 260-2701

NPI assigned

Jun 13, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Physical Therapy and Wellness PLLCGroup PAC ID 4981055852, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.73 of 100Reported as group

Quality

87.86

Improvement activities

40

Cost

61.36

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.

• Legacy Physical Therapy and Wellness PLLC

  • Physical Therapy Clinic/Center
  • Naperville, IL
  • NPI 1992585095
  Medicare reassignment Care Compare group NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Arlington Heights, IL
  • NPI 1891465142
  Medicare reassignment NPD
• Legacy Physical Therapy and Wellness PLLC

  • Physical Therapist
  • Plainfield, IL
  • NPI 1043199607
  NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Marietta, GA
  • NPI 1508538158
  NPD

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1285083097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 HOUBOLT RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319063",
            "telephone_number": "779-260-2700",
            "fax_number": "779-260-2701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASHIRO",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodolfo Mireles, LCPC
• Inna Mirsky, PSYD
• Marissa Mitchell, LCSW
• Shantese Sayana Mitchell
• Thomas Mittler Sr.
• MNM Home MD Inc.
• Casey A Moauro, MD
• Mobile Dental Care of Delaware, PA
• Mobile Dental Care of Iowa
• Kevin Moffatt, PT, DPT, OCS

• Physical Therapist in Joliet, IL
• Providers in Joliet, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.