Ryan Thomas Willoughby, PT, DPT - Physical Therapist in Portland, OR

Ryan Thomas Willoughby, PT, DPT is a Physical Therapist physician based in Portland, Oregon. Ryan Thomas Willoughby is licensed to practice in Oregon (license number 62814) and his current practice location is 15640 Nw Laidlaw Rd Ste 202, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 764-0170.

NPI number for Ryan Thomas Willoughby is 1558842054 and his current mailing address is 3661 Ne 10th St, Otis, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558842054.

Contact Information

Ryan Thomas Willoughby, PT, DPT
15640 Nw Laidlaw Rd Ste 202,
Portland, OR 97229-3828
(541) 764-0170
Not Available



Physician's Profile

Full NameRyan Thomas Willoughby
GenderMale
SpecialityPhysical Therapist
Location15640 Nw Laidlaw Rd Ste 202, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558842054
  • Provider Enumeration Date: 08/23/2018
  • Last Update Date: 02/16/2021

Medical Identifiers

Medical identifiers for Ryan Thomas Willoughby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558842054NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 62814 (Oregon)Secondary
225100000XPhysical Therapist 62814 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan Thomas Willoughby is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ryan Thomas Willoughby, PT, DPT
3661 Ne 10th St,
Otis, OR 97368-9601

Ph: (503) 764-0170
Ryan Thomas Willoughby, PT, DPT
15640 Nw Laidlaw Rd Ste 202,
Portland, OR 97229-3828

Ph: (541) 764-0170

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