| Eric Stanton Niemyer, DPT | |
|
3200 Labore Rd Ste 102, Vadnais Heights, MN 55110-5189 | |
| (952) 835-4512 | |
| (888) 425-0398 |
| Full Name | Eric Stanton Niemyer |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3200 Labore Rd Ste 102, 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 |
|---|---|---|---|
| 1699341354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Minnesota) | Primary |
| Provider Name | Maverick Physiotherapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073185393 PECOS PAC ID: 6800278979 Enrollment ID: O20220805001722 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Stanton Niemyer, DPT 7825 3rd St N, Ste 105, Oakdale, MN 55128-5444 Ph: (952) 835-4512 | Eric Stanton Niemyer, DPT 3200 Labore Rd Ste 102, Vadnais Heights, MN 55110-5189 Ph: (952) 835-4512 |
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 | |
Ryan M Bastyr, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3580 Arcade St, Vadnais Heights, MN 55127 Phone: 651-968-5201 Fax: 651-968-5903 | |
Aleeta W Butkus, PT Physical Therapist Medicare: Not Enrolled in Medicare 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 |