Ryan Watha, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501303646 Issued in MI

Practice address

995 N Pontiac TRL Unit 144
Walled Lake, MI 48390-7005

Phone

(248) 931-1517

NPI assigned

Dec 9, 2024

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Luna Care Physical Therapy LLCGroup PAC ID 9032549217, 51 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.

• Michigan Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Ann Arbor, MI
  • NPI 1003448994
  Medicare reassignment Care Compare group NPD
• Right Rehab Services Inc

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1053501627
  Medicare reassignment NPD
• Therapy Unlimited, LLC

  • Physical Therapy Clinic/Center
  • Novi, MI
  • NPI 1205111465

  Physical Therapist

  Medicare reassignment NPD
• Peace Physical Therapy PLLC

  • Home Health Agency
  • Walled Lake, MI
  • NPI 1528918331
  NPD Authorized official

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1548076151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 N PONTIAC TRL UNIT 144",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483907005",
            "telephone_number": "248-931-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 N PONTIAC TRL UNIT 144",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483907005",
            "telephone_number": "248-931-1517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43154 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141723",
            "country_code": "US",
            "telephone_number": "586-991-0430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATHA",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-09",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University Neurosurgical Associates, PC
• Brianna Urbiel
• Natalie Veasley
• Alicia Carol Villegas, RN
• Nicole Walker, DO
• Fred E Weiser, OD
• Elizabeth Wendt
• Brandon A West, DPM JD
• Nicole E Westphal
• Rylee Whalen

• Physical Therapist in Walled Lake, MI
• Providers in Walled Lake, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.