Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Ryan Faust, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1134102544

Jeremy Ryan Faust, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Benicia, California. Graduated from Loma Linda University School of Medicine in 2003, 23 years ago. Practices with Grove Andersen Ghiringhelli Physical Therapy a Professional Co, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2005
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Practice location Address checks out

860 Southampton Rd
Benicia, CA 94510-1907
Phone: (707) 745-6144
Fax: (707) 745-5698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT28673 (CA)

Record details

NPI number1134102544
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESMay 29, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Grove Andersen Ghiringhelli Physical Therapy A Professional Co — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Benicia