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

Ryan J Smilanich, DPT

Individual provider Physical Therapist · NPI 1811619075

Ryan J Smilanich, DPT is a Physical Therapist in Private Practice in Oak Creek, Wisconsin. Qualified in 2022, 4 years ago. Practices with Lakeshore Medical Clinic LLC, a 379-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
Specialties on file
2
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

200 E Ryan Rd
Oak Creek, WI 53154-4563
Phone: (414) 570-3590
Fax: (414) 570-3599
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8020 S Howell Ave, Oak Creek, WI 53154-2930 — (414) 647-3920

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16103 (WI)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1811619075
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedSeptember 14, 2022
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lakeshore Medical Clinic Llc — 379 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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