| John Gage Ryder, MS, ATC | |
|
1605 Grand Central Ave, Vienna, WV 26105-1081 | |
| (304) 295-7290 | |
| (304) 295-5922 |
| Full Name | John Gage Ryder |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 5 Years |
| Location | 1605 Grand Central Ave, Vienna, West Virginia |
| 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 |
|---|---|---|---|
| 1306364617 | NPI | - | NPPES |
| 1356766059 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT004414 (West Virginia) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 2000020739 (West Virginia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Natalie L Cooke Llc | 4082911268 | 13 |
| Provider Name | Natalie L Cooke LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891160677 PECOS PAC ID: 4082911268 Enrollment ID: O20160404000577 |
| Provider Name | Mountain River Physical Therapy Specialists LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1437754157 PECOS PAC ID: 1759795834 Enrollment ID: O20210201002102 |
| Mailing Address | Practice Location Address |
|---|---|
| John Gage Ryder, MS, ATC 1605 Grand Central Ave, Vienna, WV 26105-1081 Ph: (304) 295-7290 | John Gage Ryder, MS, ATC 1605 Grand Central Ave, Vienna, WV 26105-1081 Ph: (304) 295-7290 |
Markus Brunzel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Grand Central Ave Ste 101, Vienna, WV 26105 Phone: 304-693-2781 |
Brittany Lynne Vass, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1605 Grand Central Ave, Vienna, WV 26105 Phone: 304-295-7290 Fax: 304-295-5922 |
Andrew Robinson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Grand Central Ave, Suite 101, Vienna, WV 26105 Phone: 304-295-3060 Fax: 304-295-3065 |
Ashley Casto, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Grand Central Ave Ste 101, Vienna, WV 26105 Phone: 304-693-2781 |
Mr. Chad Copeland, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1158 46th St, Vienna, WV 26105 Phone: 304-295-3131 Fax: 304-295-0700 |
Priya Patel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1500 Grand Central Ave Ste 101, Vienna, WV 26105 Phone: 304-693-2178 |
Ms. Diana Theresia Benton, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 Grand Central Ave, Suite 101, Vienna, WV 26105 Phone: 304-295-3060 |