| Ryan M Bastyr, PT | |
|
3580 Arcade St, Vadnais Heights, MN 55127-7135 | |
| (651) 968-5201 | |
| (651) 968-5903 |
| Full Name | Ryan M Bastyr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3580 Arcade St, Vadnais Heights, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063260966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Minnesota) | Primary |
| Provider Name | Summit Orthopedics Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1306899463 PECOS PAC ID: 8921900374 Enrollment ID: O20040126000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan M Bastyr, PT 710 Commerce Dr Ste 200, Woodbury, MN 55125-4925 Ph: () - | Ryan M Bastyr, PT 3580 Arcade St, Vadnais Heights, MN 55127-7135 Ph: (651) 968-5201 |
Robert J Herdzina, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3580 Arcade St Ste 150, Vadnais Heights, MN 55127 Phone: 651-968-5201 | |
Christine Crep, PT, CLT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1155 County Road E E Ste 120, Vadnais Heights, MN 55110 Phone: 651-241-1464 Fax: 651-241-1451 | |
Justin Robert Nicol, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3545 Highway 61 N, Vadnais Heights, MN 55110 Phone: 651-439-8807 Fax: 651-439-0232 | |
Aleeta W Butkus, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127 Phone: 651-968-5770 Fax: 651-968-5775 | |
Benjamin Peters, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1155 County Road E E Ste 120, Vadnais Heights, MN 55110 Phone: 651-241-1464 | |
Carli Marie Olson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3545 Highway 61 N, Vadnais Heights, MN 55110 Phone: 651-439-8807 Fax: 651-439-0232 |