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

Dr. Ryan Watha, DPT

Individual provider Physical Therapist · NPI 1548076151

Dr. Ryan Watha, DPT is a Physical Therapist in Private Practice in Walled Lake, Michigan. Qualified in 2024, 2 years ago. Practices with Michigan Luna Care Physical Therapy LLC, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

995 N Pontiac Trl Unit 144
Walled Lake, MI 48390-7005
Phone: (248) 931-1517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 43154 Dequindre Rd, Sterling Heights, MI 48314-1723 — (586) 991-0430

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501303646 (MI)

Record details

NPI number1548076151
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 9, 2024
Last updated in NPPESJanuary 31, 2026
Certification dateJanuary 31, 2026
Mailing address995 N Pontiac Trl Unit 144, Walled Lake, MI 48390-7005

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Michigan Luna Care Physical Therapy Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Walled Lake