| John Bertucci, DPT | |
|
1155 County Road E E, Vadnais Heights, MN 55110-5183 | |
| (651) 770-0176 | |
| Not Available |
| Full Name | John Bertucci |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 12 Years |
| Location | 1155 County Road E E, Vadnais Heights, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588090534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 9312 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Active Life Physical Therapy And Wellness Llc | 1153760657 | 2 |
| Park Nicollet Clinic | 7911819438 | 1611 |
| Provider Name | Park Nicollet Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Provider Name | Physiyo, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891250635 PECOS PAC ID: 2668712688 Enrollment ID: O20190328002207 |
| Provider Name | Active Life Physical Therapy And Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205694742 PECOS PAC ID: 1153760657 Enrollment ID: O20240417000796 |
| Mailing Address | Practice Location Address |
|---|---|
| John Bertucci, DPT 4725 Minnetonka Blvd, Apt 108, Saint Louis Park, MN 55416-5711 Ph: () - | John Bertucci, DPT 1155 County Road E E, Vadnais Heights, MN 55110-5183 Ph: (651) 770-0176 |
Robert J Herdzina, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3580 Arcade St Ste 150, Vadnais Heights, MN 55127 Phone: 651-968-5201 | |
Christine Crep, PT, CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1155 County Road E E Ste 120, Vadnais Heights, MN 55110 Phone: 651-241-1464 Fax: 651-241-1451 | |
Justin Robert Nicol, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3545 Highway 61 N, Vadnais Heights, MN 55110 Phone: 651-439-8807 Fax: 651-439-0232 | |
Ryan M Bastyr, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127 Phone: 651-968-5201 Fax: 651-968-5903 | |
Aleeta W Butkus, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127 Phone: 651-968-5770 Fax: 651-968-5775 | |
Benjamin Peters, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1155 County Road E E Ste 120, Vadnais Heights, MN 55110 Phone: 651-241-1464 | |
Carli Marie Olson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3545 Highway 61 N, Vadnais Heights, MN 55110 Phone: 651-439-8807 Fax: 651-439-0232 |