| Ryan Todd Degerstrom, PT | |
|
620 Fire Monument Rd, Hinckley, MN 55037-8304 | |
| (320) 384-6189 | |
| (320) 384-6181 |
| Full Name | Ryan Todd Degerstrom |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 25 Years |
| Location | 620 Fire Monument Rd, Hinckley, Minnesota |
| 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 |
|---|---|---|---|
| 1093769333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11908 (Wisconsin) | Primary |
| 225100000X | Physical Therapist | 6908 (Minnesota) | Secondary |
| 225100000X | Physical Therapist | 1675 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Red Cliff Band Of Lake Superior Chippewa Indians | 4284537580 | 16 |
| Provider Name | Marshfield Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Provider Name | Red Cliff Band of Lake Superior Chippewa Indians |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497744015 PECOS PAC ID: 4284537580 Enrollment ID: O20040202000406 |
| Provider Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Provider Name | Memorial Hospital Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Provider Name | Flambeau Hospital, Inc. |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
| Provider Name | Memorial Hospital Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
| Provider Name | Mchs Hospitals Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Provider Name | Lakeview Medical Center Inc of Rice Lake |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Provider Name | Mchs Hospitals Inc |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Provider Name | Flambeau Hospital, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Todd Degerstrom, PT 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-4813 | Ryan Todd Degerstrom, PT 620 Fire Monument Rd, Hinckley, MN 55037-8304 Ph: (320) 384-6189 |
Kari Loew, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 Sandy Ln, Hinckley, MN 55037 Phone: 320-674-9224 |