| Jacob P Retzer, PT, DPT | |
|
1615 Capitol Way, Bismarck, ND 58501-2218 | |
| (701) 451-0410 | |
| Not Available |
| Full Name | Jacob P Retzer |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1615 Capitol Way, Bismarck, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821527003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 12971 (Montana) | Primary |
| Provider Name | Innovative Therapy Solutions & Consulting Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730700824 PECOS PAC ID: 1759703192 Enrollment ID: O20200612000515 |
| Provider Name | Little Lights Pediatric Therapy, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083121792 PECOS PAC ID: 0143618595 Enrollment ID: O20211104000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob P Retzer, PT, DPT 1615 Capitol Way, Bismarck, ND 58501-2218 Ph: (701) 451-0410 | Jacob P Retzer, PT, DPT 1615 Capitol Way, Bismarck, ND 58501-2218 Ph: (701) 451-0410 |
Ashley Russell, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 207 W Front Ave, Bismarck, ND 58504 Phone: 701-751-0994 | |
Jonathan Jay Fischer, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2945 N 11th St, Bismarck, ND 58503 Phone: 701-258-7730 Fax: 701-258-7803 | |
Mrs. Kari Lynn Harris, DPT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 N 7th St, Bismarck, ND 58501 Phone: 701-323-6837 Fax: 701-323-6907 | |
Andrew Johnson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1000 Tacoma Ave Ste 500, Bismarck, ND 58504 Phone: 701-751-3001 | |
Jennifer Voigt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6000 | |
Anna Wolf, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4580 Coleman St, Bismarck, ND 58503 Phone: 701-751-5118 | |
Alexis Witt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 N 9th St, Bismarck, ND 58501 Phone: 701-712-4500 Fax: 701-712-4011 |