| Reilly Peterson, DPT | |
|
7241 University Ave Ne, Fridley, MN 55432-3134 | |
| (763) 450-9400 | |
| Not Available |
| Full Name | Reilly Peterson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7241 University Ave Ne, Fridley, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194417311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13055 (Minnesota) | Primary |
| Provider Name | Aegis Group Practice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417340126 PECOS PAC ID: 5193036432 Enrollment ID: O20150612001586 |
| Provider Name | Metro Therapy Special Childrens Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568873388 PECOS PAC ID: 9234438227 Enrollment ID: O20160426000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Reilly Peterson, DPT 7241 University Ave Ne, Fridley, MN 55432-3134 Ph: () - | Reilly Peterson, DPT 7241 University Ave Ne, Fridley, MN 55432-3134 Ph: (763) 450-9400 |
Lisa Marie Schneider, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7225 University Ave Ne, Fridley, MN 55432 Phone: 763-236-2150 | |
Dr. Patrick David Carlson, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 480 Osborne Rd Ne, #280, Fridley, MN 55432 Phone: 763-784-3155 | |
Dawn E Peterson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7225 University Ave Ne, Fridley, MN 55432 Phone: 763-236-2150 | |
Sarah Jean Sigrist, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-3000 Fax: 612-262-7980 | |
Ellen Renee Larkin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-586-5844 | |
Dr. Puthida Isabelle Chau, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-3000 |