| Jeremy Gryder, PT | |
|
3787 Woodridge Blvd., Fairfield, OH 45014 | |
| (513) 874-1999 | |
| (513) 874-1653 |
| Full Name | Jeremy Gryder |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3787 Woodridge Blvd., Fairfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518045293 | NPI | - | NPPES |
| 0214940 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT 010004 (Ohio) | Primary |
| Provider Name | Ohio Luna Care Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1285244996 PECOS PAC ID: 6204256696 Enrollment ID: O20201023002938 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Gryder, PT 7850 Stonegate Drive, Cincinnati, OH 45255 Ph: (513) 474-4486 | Jeremy Gryder, PT 3787 Woodridge Blvd., Fairfield, OH 45014 Ph: (513) 874-1999 |
Donna J Rusche, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3787 Woodridge Blvd, Fairfield, OH 45014 Phone: 513-874-1999 Fax: 513-874-1653 | |
Rachel Pearson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5900 Boymel Dr Ste L120, Fairfield, OH 45014 Phone: 513-870-5342 | |
Eric Hoffer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Quality Blvd Ste B, Fairfield, OH 45014 Phone: 513-874-1999 | |
Mallory M Hayes, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5900 Boymel Dr, Fairfield, OH 45014 Phone: 513-870-5342 Fax: 513-870-5343 | |
Mason Ross, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5900 Boymel Dr, Fairfield, OH 45014 Phone: 513-870-5342 Fax: 513-870-5343 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 765 Nilles Rd Ste A, Fairfield, OH 45014 Phone: 513-818-4600 Fax: 513-572-1299 | |
Mr. Jeffrey Joseph Krechting, MPT PHYSICAL THERAPY Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Quality Blvd Ste B, Fairfield, OH 45014 Phone: 513-874-1999 Fax: 513-874-1653 |