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

Ryan Jacob Boudreaux, PT, DPT

Individual provider Neurology Physical Therapist · NPI 1225437866

Ryan Jacob Boudreaux, PT, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2014, 12 years ago. Practices with Rci (Wrs) LLC, a 330-clinician group and accepts Medicare assignment. Licensed in Georgia and Illinois.

Years since qualifying
12
Licensed in
GA, IL
In the registry since
2014
Specialties on file
2
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

1725 W Harrison St Ste 440
Chicago, IL 60612-3836
Phone: (312) 563-2454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physical Therapist (primary) Taxonomy 2251N0400X · Licence 070021877 (IL)
Neurology Physical Therapist Taxonomy 2251N0400X · Licence PT011641 (GA)

Record details

NPI number1225437866
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 20, 2014
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Rci (Wrs) Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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