Individual provider Active NPI

Ryan Billeaudeaux

  • Physical Therapist
  • Eugene, OR
National Provider Identifier
1659939932
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2490 Willamette St Ste 5
Eugene, OR 97405-7211
Phone
(541) 844-1728
Fax
(541) 844-1759
NPI assigned
Jun 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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 Primary

Addresses

Primary practice location

2490 Willamette St Ste 5
Eugene, OR 97405-7211

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 682-8840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715002686 OR Practitioner - Physical Therapist in Private Practice 2860727740 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willamette Community Health SolutionsGroup PAC ID 5496667578, shared by 3 NPIs, 30 clinicians

Practice addresses (Care Compare)

89 Centennial Loop
Suite a
Eugene, OR 97401-7917
Phone (541) 342-1632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Icco LLC CurrentSince Mar 16, 2020 Accepting new patients
Willamette Community Health Solutions CurrentSince Feb 1, 2022 Accepting new patients
Willamette Community Health Solutions Physical Therapist CurrentSince Feb 1, 2022 Accepting new patients
Icco, LLC Current Accepting new patients
Icco, LLC CurrentSince Mar 16, 2020 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients
Willamette Community Health Solutions Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

1777 Coburg Rd
Ste 3
Eugene, OR 97401
Phone (541) 505-8041

2490 Willamette St
Ste 5
Eugene, OR 97405
Phone (541) 844-1728

2650 Suzanne Way
Ste 200
Eugene, OR 97408
Phone (541) 228-3000

89 Centennial Loop
Ste A
Eugene, OR 97401
Phone (541) 228-3000

780 NW Garden Valley Blvd
Roseburg, OR 97471
Phone (541) 672-4885

Organizations & group practices 8

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1659939932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-682-8840",
            "fax_number": "423-602-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 WILLAMETTE ST STE 5",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974057211",
            "telephone_number": "541-844-1728",
            "fax_number": "541-844-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLEAUDEAUX",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.