Individual provider Active NPI

Ryan C Baysinger, PT, DPT, CFMT

  • Physical Therapist
  • Portland, OR
National Provider Identifier
1679981880
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11028 Issued in AZ
Practice address
809 NW 11TH Ave
Portland, OR 97209-3219
Phone
(971) 703-4524
Fax
(971) 254-8979
NPI assigned
Jul 31, 2014
Last updated
May 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2022

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 11028 AZ Primary

Addresses

Primary practice location

809 NW 11TH Ave
Portland, OR 97209-3219

Mailing address

809 NW 11TH Ave
Portland, OR 97209-3219
Phone (971) 703-4524

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808000548 OR Practitioner - Physical Therapist in Private Practice 6103047485 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapydia IncGroup PAC ID 2264678226, 35 clinicians

Practice addresses (Care Compare)

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

4140 N Williams Ave
Portland, OR 97217-2948
Phone (971) 347-1774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapydia, Inc. Physical Therapist CurrentSince May 2, 2022 Accepting new patients
Clackamas Physical Therapy Associates, Inc. CurrentSince Jun 28, 2016 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince May 2, 2022 Accepting new patients

Locations

11203 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 698-5500

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

4140 N Williams Ave
Portland, OR 97217
Phone (971) 318-1367

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": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1679981880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 NW 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093219",
            "telephone_number": "971-703-4524",
            "fax_number": "971-254-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 NW 11TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093219",
            "telephone_number": "971-703-4524",
            "fax_number": "971-254-8979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYSINGER",
        "first_name": "RYAN",
        "middle_name": "C",
        "credential": "PT, DPT, CFMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-31",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.