| Ryan Knuckles, | |
|
15425 Manchester Rd, Suite 28, Ballwin, MO 63011-3077 | |
| (636) 220-6969 | |
| (636) 220-6973 |
| Full Name | Ryan Knuckles |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 15425 Manchester Rd, Ballwin, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386069433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2014004291 (Missouri) | Primary |
| Provider Name | Axes Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1003280421 PECOS PAC ID: 3375840028 Enrollment ID: O20160324001215 |
| Provider Name | Core Rehab And Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1144867086 PECOS PAC ID: 2961838198 Enrollment ID: O20200207000462 |
| Provider Name | Performance 21 Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1578336822 PECOS PAC ID: 4688022528 Enrollment ID: O20231202000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Knuckles, 4273 Keaton Crossing Blvd, O Fallon, MO 63368-8220 Ph: (636) 206-6540 | Ryan Knuckles, 15425 Manchester Rd, Suite 28, Ballwin, MO 63011-3077 Ph: (636) 220-6969 |
Ronald Drainer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 767 Arbor Haven Dr, Ballwin, MO 63021 Phone: 314-660-5068 | |
Kelley M Mcgaughey, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15425 Manchester Rd, Ste.28, Ballwin, MO 63011 Phone: 636-220-6969 Fax: 636-220-6973 | |
Laura Clasen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13610 Barrett Office Dr Ste 104, Ballwin, MO 63021 Phone: 314-822-5107 Fax: 314-822-5106 | |
Amelia Helen Bottcher, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2200 Barrett Station Rd Ste 200, Ballwin, MO 63021 Phone: 314-238-1130 | |
Dr. Jamie Baumer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14081 Manchester Rd, Ballwin, MO 63011 Phone: 636-493-8642 | |
Vanda Dang, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15587 Manchester Rd, Ballwin, MO 63011 Phone: 636-256-0300 Fax: 636-256-0931 | |
Jodi Bielicke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15425 Manchester Rd Ste 28, Ballwin, MO 63011 Phone: 636-467-2730 |