Individual provider Active NPI

Ryan Eckert, PT, DPT

  • Physical Therapist
  • Happy Valley, OR
National Provider Identifier
1467008540
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
63403 Issued in OR
Practice address
10729 SE 82ND Ave
Happy Valley, OR 97086-7601
Phone
(503) 567-4035
Fax
(503) 446-4984
NPI assigned
Aug 14, 2019
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 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 63403 OR Primary

Addresses

Primary practice location

10729 SE 82ND Ave
Happy Valley, OR 97086-7601

Mailing address

5441 S Macadam Ave # 8128
Portland, OR 97239-6106
Phone (503) 567-4035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200306002051 OR Practitioner - Physical Therapist in Private Practice 9032547955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of California, San Francisco School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapydia IncGroup PAC ID 2264678226, 35 clinicians

Practice addresses (Care Compare)

13120 SE 172ND Ave
Suite 108
Happy Valley, OR 97086-9652
Phone (503) 825-2232

2808 E Burnside St
Portland, OR 97214-1830
Phone (503) 477-4802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Timber and Iron Physical Therapy LLC CurrentSince Nov 7, 2025 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Dec 28, 2019 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Dec 28, 2019 Accepting new patients

Locations

18 E Blithedale Ave
Ste 21
Mill Valley, CA 94941

10729 SE 82nd Ave
Happy Valley, OR 97086
Phone (503) 567-4035

13120 SE 172nd Ave
Ste 108
Happy Valley, OR 97086
Phone (503) 825-2232

2808 E Burnside St
Portland, OR 97214
Phone (503) 477-4802

5441 S Macadam Ave
Portland, OR 97239
Phone (541) 402-8932

809 NW 11th Ave
Portland, OR 97209
Phone (971) 703-4524

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1467008540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE # 8128",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396106",
            "telephone_number": "503-567-4035",
            "fax_number": "503-446-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10729 SE 82ND AVE",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867601",
            "telephone_number": "503-567-4035",
            "fax_number": "503-446-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERT",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-14",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.