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

Ryan John Mackenzie, DPT

Individual provider Physical Therapist · NPI 1104204908

Ryan John Mackenzie, DPT is a Physical Therapist in Private Practice in Stayton, Oregon. Qualified in 2015, 11 years ago. Practices with Benchmark Physical Therapy of Oregon LLC, a 130-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2015
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

1750 Wilco Rd
Stayton, OR 97383-1085
Phone: (503) 769-7131
Fax: (503) 769-7132
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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 T61006 (OR)

Record details

NPI number1104204908
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 12, 2015
Last updated in NPPESApril 5, 2018
Mailing address685 36th Ave Ne, Salem, OR 97301-4741

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Benchmark Physical Therapy Of Oregon Llc — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Stayton