Ryan Peter Busalacchi, DPT | |
201 Williamsburg Pkwy, Jacksonville, NC 28546-6856 | |
(252) 634-2676 | |
(910) 353-5610 |
Full Name | Ryan Peter Busalacchi |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 201 Williamsburg Pkwy, Jacksonville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508548900 | NPI | - | NPPES |
P22454 | Other | NC | PT LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P22454 (North Carolina) | Primary |
Provider Name | Emergeortho Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1376592964 PECOS PAC ID: 0749188894 Enrollment ID: O20031229000000 |
Mailing Address | Practice Location Address |
---|---|
Ryan Peter Busalacchi, DPT 201 Williamsburg Pkwy, Jacksonville, NC 28546-6856 Ph: (252) 634-2676 | Ryan Peter Busalacchi, DPT 201 Williamsburg Pkwy, Jacksonville, NC 28546-6856 Ph: (252) 634-2676 |
Erin M Ryan, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083 | |
Kelsey Aldi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 | |
Dr. Taylor Chadwick Bryan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2453 Gum Branch Rd Ste 600, Jacksonville, NC 28540 Phone: 910-353-9800 Fax: 910-455-2083 | |
Mr. Frank J Mikloucich Jr., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3060 Henderson Dr, Jacksonville, NC 28546 Phone: 910-346-3151 Fax: 910-346-2975 | |
Heather Koopman, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2000 Brabham Ave Ste 100, Jacksonville, NC 28546 Phone: 910-332-3800 Fax: 910-251-0421 | |
Darrin Eugene Madole, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 Fax: 910-938-7544 | |
Jose Luis Dejesus, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 122 Branchwood Shopping Ctr, Jacksonville, NC 28546 Phone: 910-938-7555 Fax: 910-938-7544 |