Jeremy Ryan Faust in Benicia - Physical Therapist
Jeremy Ryan Faust - NPI 1134102544
Jeremy Ryan Faust is a Physical Therapist in Benicia, California. Jeremy Ryan Faust practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jeremy Ryan Faust is 1134102544. The last update date is 2008-05-29.
Jeremy Ryan Faust's current location address is 860 Southampton Rd, Benicia, California. You can contact this provider via phone number 7077456144 and fax number 7077455698. The mailing address for Jeremy Ryan Faust is 860 Southampton Rd, Benicia, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Ryan Faust |
|---|---|
| Address | 860 Southampton Rd, Benicia, California |
| Phone Number | 7077456144 |
| Fax Number | 7077455698 |
| Sole Proprietor | N |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1134102544 |
|---|---|
| Provider Enumeration Date | 2005-11-21 |
| Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
| Address | 860 Southampton Rd |
|---|---|
| City | Benicia |
| State | California (CA) |
| Post Code | 94510 |
| Phone Number | 7077456144 |
| Fax Number | 7077455698 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT28673 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ15795Z | CA | MEDICARE GROUP PTAN - VALLEJO | |
| ZZZ25256Z | CA | MEDICARE GROUP PTAN - BENICIA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeremy Ryan Faust?
The Jeremy Ryan Faust has been issued the NPI (National Provider Identifier) 1134102544 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jeremy Ryan Faust?
The Jeremy Ryan Faust is situated at 860 Southampton Rd, in the city of Benicia, state of CA, with the zip code 94510.
What is Jeremy Ryan Faust's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeremy Ryan Faust's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date was the 1134102544 assigned to Jeremy Ryan Faust?
The Jeremy Ryan Faust was issued its 1134102544 on 2005-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jeremy Ryan Faust most recently updated?
The details pertaining to the Jeremy Ryan Faust, including its address, specialty, and other relevant information, were last refreshed on 2008-05-29.
NPI Number: 1962405878
Address: 2650 Elm Ave Ste 218, Long Beach, CA