Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ryan Zachary Wilson, PT, DPT

Individual provider Orthopedic Physical Therapist · NPI 1679171342

Dr. Ryan Zachary Wilson, PT, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Connecticut, Illinois, New Jersey and New York.

Years since qualifying
6
Licensed in
CT, IL, NJ, NY
In the registry since
2020
Specialties on file
4
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2900 W Peterson Ave
Chicago, IL 60659-3818
Phone: (773) 596-5484
Fax: (773) 862-8578
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-026470 (IL)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 13054 (CT)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 40QA01961200 (NJ)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 046507 (NY)

Record details

NPI number1679171342
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 14, 2020
Last updated in NPPESApril 27, 2022
Certification dateApril 27, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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