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

Ryan Miyashiro, DPT

Individual provider Physical Therapist · NPI 1285083097

Ryan Miyashiro, DPT is a Physical Therapist in Private Practice in Joliet, Illinois. Qualified in 2016, 10 years ago. Practices with Legacy Physical Therapy and Wellness PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
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

1122 Houbolt Rd
Joliet, IL 60431-9063
Phone: (779) 260-2700
Fax: (779) 260-2701
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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 070022334 (IL)

Record details

NPI number1285083097
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 13, 2016
Last updated in NPPESJuly 3, 2023
Certification dateJuly 3, 2023
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Legacy Physical Therapy And Wellness Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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