| Ryseup Rehab Limited Liability Company | |
|
2230 N University Pkwy, Bldg 5, Ste B, Provo, UT 84604 | |
| (801) 449-0253 | |
| Not Available |
| Full Name | Ryseup Rehab Limited Liability Company |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2230 N University Pkwy, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699470609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Jacob Jeremy Loeber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396591988 PECOS PAC ID: 3173965936 Enrollment ID: I20240523004242 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryseup Rehab Limited Liability Company 2230 N University Pkwy, Bldg 5, Ste B, Provo, UT 84604 Ph: (801) 449-0253 | Ryseup Rehab Limited Liability Company 2230 N University Pkwy, Bldg 5, Ste B, Provo, UT 84604 Ph: (801) 449-0253 |
Rhonda L Metcalf, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Brandon Niel Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 68 N 2830 W, Provo, UT 84601 Phone: 801-310-2207 | |
Ms. Maryjane Ligairi, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-373-7850 | |
Jacie Saltzman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1034 N 500 W, Provo, UT 84604 Phone: 801-357-7850 | |
Monica Maria Alvarez Hinckley, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1157 N 300 W, Provo, UT 84604 Phone: 801-357-1250 Fax: 801-357-1255 | |
Independence Rehab, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5314 River Run Dr, Suite 140, Provo, UT 84604 Phone: 801-494-0486 Fax: 801-494-0533 | |
Bridger Park, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1034 North 500 West, Provo, UT 84604 Phone: 801-357-1250 |