| Ryan Fullington, PT, DPT | |
|
8500 Maryland Ave Apt 513, Saint Louis, MO 63124-2318 | |
| (262) 364-9221 | |
| Not Available |
| Full Name | Ryan Fullington |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 8500 Maryland Ave Apt 513, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821560467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2022013468 (Missouri) | Primary |
| 225100000X | Physical Therapist | 14512-24 (Wisconsin) | Secondary |
| Provider Name | Missouri Physical Therapy Services Of Creve Coeur, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316649544 PECOS PAC ID: 0547600207 Enrollment ID: O20240429000383 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Fullington, PT, DPT 8500 Maryland Ave Apt 513, Saint Louis, MO 63124-2318 Ph: (262) 364-9221 | Ryan Fullington, PT, DPT 8500 Maryland Ave Apt 513, Saint Louis, MO 63124-2318 Ph: (262) 364-9221 |
Brittany Marie Burchett, M.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3625 Magnolia Ave, Saint Louis, MO 63110 Phone: 314-771-2990 | |
Ms. Martha J Rubinelli, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7733 Forsyth Blvd, Suite 1700, Saint Louis, MO 63105 Phone: 314-863-7422 | |
Hilde Anne Maagad, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5460 Delmar Blvd, Saint Louis, MO 63112 Phone: 314-361-2908 | |
Dr. Lexi Kathleen Wisch, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 401 Holly Hills Ave, Saint Louis, MO 63111 Phone: 314-353-5190 Fax: 314-353-7631 | |
Dr. Danielle Buchanan Ivie, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108 Phone: 314-286-1940 Fax: 314-286-1473 | |
Rehab Dynamics, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10435 Clayton Rd, Suite 10, Saint Louis, MO 63131 Phone: 314-442-6249 Fax: 314-787-5949 | |
Juliet Hereford, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7508 Big Bend Blvd, Saint Louis, MO 63119 Phone: 314-647-4880 Fax: 314-647-1964 |