Individual provider Active NPI

Stefanie L Ryan, PT

  • Physical Therapist
  • Hillsboro, OR
National Provider Identifier
1417430653
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
62985 Issued in OR
Practice address
7305 SE Circuit Dr Ste 140
Hillsboro, OR 97123-1961
Phone
(971) 504-4905
Fax
(503) 215-0583
NPI assigned
Sep 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 62985 OR Primary

Addresses

Primary practice location

7305 SE Circuit Dr Ste 140
Hillsboro, OR 97123-1961

Mailing address

7305 SE Circuit Dr Ste 140
Hillsboro, OR 97123-1961

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181121001924 OR Practitioner - Physical Therapist in Private Practice 0941554315 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7305 SE Circuit Dr
Suite 140
Hillsboro, OR 97129-1961
Phone (971) 501-4905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62985ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince Nov 10, 2025 Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
KJB Consulting Corporation Physical Therapist CurrentSince Jun 19, 2023 Accepting new patients
Providence Health & Services - Oregon CurrentSince Nov 10, 2025 Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients
Therapeutic Associates Inc Physical Therapist Past Accepting new patients

Locations

7305 SE Circuit Dr
Ste 140
Hillsboro, OR 97129
Phone (971) 501-4905

1627 Woods Ct
Hood River, OR 97031
Phone (541) 386-9511

4004 Kruse Way Pl
Ste 300
Lake Oswego, OR 97035
Phone (503) 216-1500

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

3934 NE Martin Luther King Jr Blvd
Ste 203
Portland, OR 97212
Phone 5032231856301

2330 NW Flanders St
Ste G1
Portland, OR 97210
Phone (503) 224-9270

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

2525 NW Lovejoy St
Ste 202
Portland, OR 97210
Phone (503) 223-3078

1427 NW Flanders St
Ste A
Portland, OR 97209
Phone (503) 473-6725

960 N 16th St
Ste 304
Springfield, OR 97477
Phone (541) 744-6172

Organizations & group practices 7

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": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1417430653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 SE CIRCUIT DR STE 140",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971231961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 SE CIRCUIT DR STE 140",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971231961",
            "telephone_number": "971-504-4905",
            "fax_number": "503-215-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "STEFANIE",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-13",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "62985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.