Brackon W Lundy, PT, DPT | |
5200 W 94th Ter Ste 112, Prairie Village, KS 66207-2534 | |
(913) 224-2990 | |
(913) 224-2992 |
Full Name | Brackon W Lundy |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 5200 W 94th Ter Ste 112, Prairie Village, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689054678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 2015020034 (Missouri) | Secondary |
225100000X | Physical Therapist | 11-05068 (Kansas) | Primary |
Provider Name | Empower Physical Therapy & Performance Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1255967782 PECOS PAC ID: 4587085576 Enrollment ID: O20200529001014 |
Mailing Address | Practice Location Address |
---|---|
Brackon W Lundy, PT, DPT 5200 W 94th Ter Ste 112, Prairie Village, KS 66207-2534 Ph: (913) 224-2990 | Brackon W Lundy, PT, DPT 5200 W 94th Ter Ste 112, Prairie Village, KS 66207-2534 Ph: (913) 224-2990 |
Mrs. Tiffonie Kai Dirks, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4127 W 73rd St, Prairie Village, KS 66208 Phone: 913-432-1866 | |
Jennifer Chrisco, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8340 Mission R. Suite B, Prairie Village, KS 66206 Phone: 913-213-3531 | |
Briauna Cathleen Jurgensmeyer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8340 Mission Rd Ste B, Prairie Village, KS 66206 Phone: 816-566-0021 | |
Brooke Olson, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5250 W. 94th Terrace Ste. 200, Prairie Village, KS 66207 Phone: 913-345-1997 Fax: 913-345-1990 | |
Katherine Kempf Libby, Physical Therapist Medicare: Medicare Enrolled Practice Location: 7733 Ash St, Prairie Village, KS 66208 Phone: 316-670-3426 | |
Ashtyn Nicole Scruggs, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8101 Mission Rd, Prairie Village, KS 66208 Phone: 913-383-2085 | |
Jeffrey Stone, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6911 Tomahawk Rd, Prairie Village, KS 66208 Phone: 913-871-6291 Fax: 913-871-7633 |