| Ryan Herold, DPT, PT | |
|
1160 Sw Simpson Ave Ste 200, Bend, OR 97702-3542 | |
| (541) 322-9045 | |
| (541) 322-9044 |
| Full Name | Ryan Herold |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 1160 Sw Simpson Ave Ste 200, Bend, Oregon |
| 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 |
|---|---|---|---|
| 1457072118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 302429 (California) | Secondary |
| 225100000X | Physical Therapist | 65570 (Oregon) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Proactive Llc | 7315218708 | 42 |
| Provider Name | New Proactive Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1396273199 PECOS PAC ID: 7315218708 Enrollment ID: O20170901001937 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Herold, DPT, PT 805 Sw Industrial Way Ste 3, Bend, OR 97702-1093 Ph: (541) 322-9045 | Ryan Herold, DPT, PT 1160 Sw Simpson Ave Ste 200, Bend, OR 97702-3542 Ph: (541) 322-9045 |
Alpine Physical Therapy And Wellness Center Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 336 Sw Cyber Dr, Suite 107, Bend, OR 97702 Phone: 541-382-5500 Fax: 541-389-5669 | |
Matthew Joseph Kirchoff, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Ne Neff Rd, Suite 202, Bend, OR 97701 Phone: 541-388-7738 Fax: 541-312-0121 | |
Catherine Stone, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2366 Nw Lakeside Pl, Bend, OR 97701 Phone: 541-382-0479 | |
Jaqueline L Campagna, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 | |
Nikki Peirtsegaele, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2185 Nw Shevlin Park Rd, Bend, OR 97703 Phone: 541-728-0713 | |
Craig Andrew Boswell, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 61615 Athletic Club Drive, Bend, OR 97702 Phone: 541-382-7890 Fax: 541-382-7498 | |
Erik Zamboni, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1558 Sw Nancy Way, Suite 104, Bend, OR 97702 Phone: 541-312-2004 |