| Bryce Petersen, PT, DPT | |
|
2510 E Hunt Hwy Ste 27, San Tan Valley, AZ 85143-5208 | |
| (480) 618-0480 | |
| (480) 618-0481 |
| Full Name | Bryce Petersen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2510 E Hunt Hwy Ste 27, San Tan Valley, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053885418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | LPT-30464 (Arizona) | Primary |
| Provider Name | Affinity Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487751772 PECOS PAC ID: 7214099886 Enrollment ID: O20081217000048 |
| Provider Name | Kinect Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811265929 PECOS PAC ID: 3476713009 Enrollment ID: O20120319000836 |
| Provider Name | Experience Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1447877105 PECOS PAC ID: 1557781903 Enrollment ID: O20201023000966 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryce Petersen, PT, DPT 2510 E Hunt Hwy Ste 27, San Tan Valley, AZ 85143-5208 Ph: (480) 618-0480 | Bryce Petersen, PT, DPT 2510 E Hunt Hwy Ste 27, San Tan Valley, AZ 85143-5208 Ph: (480) 618-0480 |
Andrea Ruth Jennings, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 36397 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-567-2987 | |
Mrs. Juliet Amanda Cortina, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36397 N Gantzel Rd Ste 102, San Tan Valley, AZ 85140 Phone: 480-567-2987 Fax: 480-347-0240 | |
Eric L Shifley, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 37591 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140 Phone: 480-590-8504 | |
Jonathan Randall, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36397 N Gantzel Rd, #102, San Tan Valley, AZ 85140 Phone: 480-567-2987 Fax: 480-347-0240 | |
Jim W Roarty, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 40601 N Gantzel Rd Ste 103, San Tan Valley, AZ 85140 Phone: 602-648-5444 Fax: 602-772-3801 | |
Mrs. Ashley Marie Deramos, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 36397 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-567-2987 |