| Dr Ryan D Birch, DPT, PT | |
| 
					1 Widger Rd, Marblehead, MA 01945-2146  | |
| (302) 897-7469 | |
| Not Available | 
| Full Name | Dr Ryan D Birch | 
|---|---|
| Gender | Male | 
| Speciality | Physical Therapist | 
| Location | 1 Widger Rd, Marblehead, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225322241 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225100000X | Physical Therapist | PT021276 (Pennsylvania) | Primary | 
| 2251X0800X | Physical Therapist - Orthopedic | PT021276 (Pennsylvania) | Secondary | 
| Provider Name | Fox Rehab Ma Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1497174437 PECOS PAC ID: 3678895000 Enrollment ID: O20141213000299  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Ryan D Birch, DPT, PT 1911 Oak Lane Rd, Wilmington, DE 19803-5237 Ph: (302) 897-7469  | Dr Ryan D Birch, DPT, PT 1 Widger Rd, Marblehead, MA 01945-2146 Ph: (302) 897-7469  | 
Dr. Simon Zohar, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Widger Rd, North Shore Physical Therapy, Marblehead, MA 01945 Phone: 781-631-8250 Fax: 781-639-2060  | |
Jasminn Laubenstein, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Widger Rd, Marblehead, MA 01945 Phone: 781-631-8250  | |
Fawn Burns Anderson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Widger Rd, Marblehead, MA 01945 Phone: 781-631-8250 Fax: 781-639-2060  | |
Raymond Choiniere, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Widger Rd, Marblehead, MA 01945 Phone: 781-631-8250 Fax: 781-639-2060  | |
David Roberts, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 Widger Rd, Marblehead, MA 01945 Phone: 781-631-8250 Fax: 781-639-2060  | |
Mrs. Kelley Springer Braun, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Widger Rd, Marblehead, MA 01945 Phone: 781-631-8250  |