RYAN JACOB BOUDREAUX PT, DPT
NPI 1225437866
Physical Therapist - Neurology in Chicago, IL

Q: What is Ryan Boudreaux's NPI number?

The NPI number for Ryan Boudreaux is 1225437866. It was assigned to this individual provider in the NPPES registry on August 20, 2014.

Q: What is Ryan Boudreaux's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Neurology, with taxonomy code 2251N0400X.

Q: When was this NPI record last updated?

The NPPES record for Ryan Boudreaux was last updated on March 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 20, 2014Accepts Medicare Assignment

1725 W HARRISON ST STE 440, CHICAGO, IL 60612(312) 563-2454 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ryan Jacob Boudreaux Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RYAN JACOB BOUDREAUX PT, DPT (NPI 1225437866) is an individual neurology provider in Chicago, Illinois, licensed in Illinois (070021877) and active in the NPI registry since August 2014. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1225437866

Entity TypeIndividualMale

Primary Taxonomy2251N0400X

Provider Legal NameRYAN JACOB BOUDREAUXCredential: PT, DPT

Location Address1725 W HARRISON ST STE 440Chicago, IL 60612-3836

Mailing Address1725 W Harrison St Ste 440Chicago, IL 60612-3836 · (312) 563-2454

Phone(312) 563-2454

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 20, 2014

Last NPPES UpdateMarch 11, 2025

NPPES CertifiedMarch 11, 2025

✔ NPI 1225437866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · NeurologyRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251N0400X

Licenses✔ Licensed in IL · 070021877✔ Licensed in GA · PT011641

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.

1725 W HARRISON ST STE 440, Chicago, IL 60612

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Jacob Boudreaux Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941673156

PECOS Enrollment IDI20230308001351

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

176 services36 patients

Therapy procedure using functional activities 97530

A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.

164 services39 patients

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112

This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.

162 services23 patients

Evaluation for physical therapy, typically 30 minutes 97162

An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.

25 services24 patients

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRETTA LEIGH

Occupational Therapist