| Ryan Herold, | |
|
411 W Main St, Brawley, CA 92227-2244 | |
| (760) 925-3031 | |
| Not Available |
| Full Name | Ryan Herold |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 3 Years |
| Location | 411 W Main St, Brawley, California |
| 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) | 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, 4957 Quincy St, San Diego, CA 92109-2301 Ph: (503) 754-0512 | Ryan Herold, 411 W Main St, Brawley, CA 92227-2244 Ph: (760) 925-3031 |
Jasmin Bartolome, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 W Legion Rd, Brawley, CA 92227 Phone: 208-272-0327 | |
Brian F Sanders, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 W Legion Rd, Brawley, CA 92227 Phone: 760-351-7125 Fax: 760-351-7128 | |
Andrew Ramirez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 W Legion Rd, Brawley, CA 92227 Phone: 760-351-7125 Fax: 760-351-7128 | |
Glenda C. Chavez, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 529 E St, Brawley, CA 92227 Phone: 760-344-9000 Fax: 760-344-9191 | |
Federico Tunesi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 411 W Main St Ste 411, Brawley, CA 92227 Phone: 760-925-3031 Fax: 760-412-5037 | |
Tang-hsuan Yu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 751 W Legion Rd, #101, Brawley, CA 92227 Phone: 760-351-3288 |