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 Therapy |
Experience | 11 Years |
Location | 15425 Manchester Rd, Ballwin, Missouri |
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 |
---|---|---|---|
1386069433 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2014004291 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Axes Physical Therapy Llc | 3375840028 | 76 |
Core Rehab And Wellness Llc | 2961838198 | 6 |
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 |
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 | |
Dr. Jamie Baumer, DPT Physical Therapist Medicare: Medicare Enrolled 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 | |
Alejandra Peralta-werns, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14081 Manchester Rd, Ballwin, MO 63011 Phone: 636-493-8642 | |
Jenn Delf, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13610 Barrett Office Dr, Suite 210, Ballwin, MO 63021 Phone: 314-822-5107 |