Individual provider Active NPI

Ryan SMRZ, PT, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1467115576
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.026313 Issued in IL
Practice address
1 E Erie St Ste 220
Chicago, IL 60611-4741
Phone
(773) 525-5200
NPI assigned
Oct 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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 070.026313 IL Primary

Addresses

Primary practice location

1 E Erie St Ste 220
Chicago, IL 60611-4741

Mailing address

440 W Barry Ave Apt 610
Chicago, IL 60657-5571
Phone (847) 269-1982

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515001047 OR Practitioner - Physical Therapist in Private Practice 1456741982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360 Degree Sports Medicine and Spine Therapy LLCGroup PAC ID 8729164249, 6 clinicians

Practice addresses (Care Compare)

1215 SE 8TH Ave
Suite D
Portland, OR 97214-3497
Phone (503) 248-0360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.026313ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
360 Degree Sports Medicine & Spine Therapy LLC CurrentSince Mar 3, 2025 Accepting new patients
Presence Chicago Hospitals Network PastSince Oct 17, 2021 Accepting new patients

Locations

1215 SE 8th Ave
Ste D
Portland, OR 97214
Phone (503) 208-4360

Organizations & group practices 2

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1467115576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 W BARRY AVE APT 610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575571",
            "telephone_number": "847-269-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E ERIE ST STE 220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114741",
            "telephone_number": "773-525-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMRZ",
        "first_name": "RYAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.