| Jennifer Ann Ryan, | |
|
961 Fm 1139, Rockwall, TX 75032-7147 | |
| (903) 456-0947 | |
| Not Available |
| Full Name | Jennifer Ann Ryan |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 961 Fm 1139, Rockwall, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174307003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Ideal Physical Therapy Of Texas Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538573746 PECOS PAC ID: 0547583809 Enrollment ID: O20141218000890 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ann Ryan, 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () - | Jennifer Ann Ryan, 961 Fm 1139, Rockwall, TX 75032-7147 Ph: (903) 456-0947 |
Emily Bleyer, Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 E Ralph Hall Pkwy, Rockwall, TX 75032 Phone: 877-407-3422 Fax: 877-407-4329 | |
Ryan Allen Baumgartner, PT, DPT, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 2268 N Lake Shore Dr Ste 106, Rockwall, TX 75087 Phone: 972-979-6577 Fax: 972-979-6951 | |
Tara Meetra Khalili, Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 E Ralph Hall Pkwy, Rockwall, TX 75032 Phone: 877-407-3422 Fax: 877-407-4329 | |
Kimberly Kathleen Hackbart, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2504 Ridge Rd, Suite 205, Rockwall, TX 75087 Phone: 972-768-9230 Fax: 972-722-4087 | |
Mariah Bertrand, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2268 N Lake Shore Dr Ste 106, Rockwall, TX 75087 Phone: 972-979-6577 | |
Dr. Chad Mccomas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Summer Lee Dr, Rockwall, TX 75032 Phone: 972-771-8111 | |
Wendy Mary Davidson, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 930 W Ralph Hall Parkway Suite 120, Rockwall, TX 75032 Phone: 972-771-0999 Fax: 972-771-2281 |