Jerald Carsten Ruck, PT | |
200 Muir Rd, Physical Therapy Dept, Martinez, CA 94553-4614 | |
(925) 313-4516 | |
(925) 313-4545 |
Full Name | Jerald Carsten Ruck |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 200 Muir Rd, Martinez, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770625543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 14099 (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Jerald Carsten Ruck, PT 200 Muir Rd, Physical Therapy Dept, Martinez, CA 94553-4614 Ph: (925) 313-4516 | Jerald Carsten Ruck, PT 200 Muir Rd, Physical Therapy Dept, Martinez, CA 94553-4614 Ph: (925) 313-4516 |
Anna Dejka Lee, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5758 | |
Anne Russell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Muir Rd, Kaiser Home Health Agency, Martinez, CA 94553 Phone: 925-313-4668 Fax: 925-313-4700 | |
Deborah Hofmeister, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Muir Rd, Martinez, CA 94553 Phone: 925-313-4823 | |
Mrs. Ayn Alissa Blankenship, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Alhambra Ave, Martinez, CA 94553 Phone: 925-370-5753 | |
Jennifer Leigh Raczka, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Muir Rd, Martinez, CA 94553 Phone: 925-372-2000 | |
Mrs. Susan Brandt Dorst, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 200 Muir Rd, Martinez, CA 94553 Phone: 925-313-4517 Fax: 925-313-4545 | |
Shane Fandinola, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 150 Muir Rd, Martinez, CA 94553 Phone: 925-370-4717 |