Ryan Watilo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

66082 Issued in OR

Practice address

1445 NE Miller St Ste 3a
McMinnville, OR 97128-8460

Phone

(503) 770-0352

NPI assigned

May 9, 2026

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

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2026

Medicare assignment

May accept Medicare assignment

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.

• Trek Physical Therapy

  • Physical Therapy Clinic/Center
  • McMinnville, OR
  • NPI 1437818119

  Physical Therapist

  NPD

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

{
    "created_epoch": "1778284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1881522019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 NE MILLER ST STE 3A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 NE MILLER ST STE 3A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288460",
            "telephone_number": "503-770-0352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATILO",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-09",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "66082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry M Wanitschek-Gilmer, LPC
• Patricia Dawn Ward, R.PH
• Amy Roberts Wark, D.M.D.
• Kimberley Warnecke
• Michele Marie Warner, LPC
• Quentin V Watne, P.T.
• Nathaniel Weant
• Jeanine Wearner, RN
• Kurt C. Webb, PSYD
• Sofia Jernstedt Webster, BIRTH DOULA

• All providers in McMinnville, OR
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.