Ryan Bibeau, DPT, CSCS | |
8895 Mcgaw Rd Ste G, Columbia, MD 21045-4746 | |
(443) 441-0616 | |
Not Available |
Full Name | Ryan Bibeau |
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Gender | Male |
Speciality | Physical Therapist |
Location | 8895 Mcgaw Rd Ste G, Columbia, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013608892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Privia Medical Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140522000040 |
Mailing Address | Practice Location Address |
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Ryan Bibeau, DPT, CSCS 1701 Matisse Ct, Severn, MD 21144-1632 Ph: (410) 903-2004 | Ryan Bibeau, DPT, CSCS 8895 Mcgaw Rd Ste G, Columbia, MD 21045-4746 Ph: (443) 441-0616 |
Susannah Lynn Coover, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8885 Centre Park Dr Ste G, Columbia, MD 21045 Phone: 410-730-1275 | |
Mrs. Sandra L Woods, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5500 Knoll North Dr Ste 150, Columbia, MD 21045 Phone: 443-542-0062 | |
Laura Flynn, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11085 Little Patuxent Pkwy, Suite 207, Columbia, MD 21044 Phone: 410-884-4111 Fax: 410-884-4113 | |
Caitlin Elaine Kratz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5435 Beaverkill Rd, Columbia, MD 21044 Phone: 410-740-0883 Fax: 410-740-9970 | |
Loretta Anne Merl, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10632 Little Patuxent Pkwy, Columbia, MD 21044 Phone: 410-740-0300 | |
Lily Wei, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5435 Beaverkill Rd, Columbia, MD 21044 Phone: 410-740-0883 Fax: 410-740-9970 |