Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ryan Matthew Raborn, PT

Individual provider Physical Therapist · NPI 1477794881

Dr. Ryan Matthew Raborn, PT is a Physical Therapist in Private Practice in Dewitt, Michigan. Qualified in 2009, 17 years ago. Practices with Jdr74 Holdings, LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

13060 S US Highway 27 Ste C4
Dewitt, MI 48820-8619
Phone: (517) 668-6561
Fax: (517) 306-2372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1375 S Lapeer Rd, Lake Orion, MI 48360-1421 — (248) 814-0500

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501014355 (MI)

Record details

NPI number1477794881
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 13, 2009
Last updated in NPPESJuly 4, 2019
Mailing address13060 S Us Highway 27 Ste C4, Dewitt, MI 48820-8619

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Jdr74 Holdings, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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