Jared L Peterson, PT | |
2530 Broadway Ave N, Rochester, MN 55906-4594 | |
(507) 259-7570 | |
(888) 624-3107 |
Full Name | Jared L Peterson |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 2530 Broadway Ave N, Rochester, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194968842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 10801-024 (Wisconsin) | Secondary |
225100000X | Physical Therapist | 7495 (Minnesota) | Primary |
Provider Name | Exercisabilities Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265798037 PECOS PAC ID: 3476716614 Enrollment ID: O20120525000149 |
Mailing Address | Practice Location Address |
---|---|
Jared L Peterson, PT 2530 Broadway Ave N, Rochester, MN 55906-1042 Ph: (507) 259-7570 | Jared L Peterson, PT 2530 Broadway Ave N, Rochester, MN 55906-4594 Ph: (507) 259-7570 |
Melissa S Larson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5067 55th St Nw, Rochester, MN 55901 Phone: 507-292-7070 | |
Sara E Demars, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Nathan J Hellyer, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Jean C Weland, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Jade Patraw Metzger, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Joshua Mattison, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3708 Broadway Ave N Ste 110, Rochester, MN 55906 Phone: 507-322-3460 | |
Dr. Melanie Dawn Brennan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5335 E Frontage Rd Nw, Suite C, Rochester, MN 55901 Phone: 507-259-7570 Fax: 888-624-3107 |