Bradley Thomas Penning, DPT | |
353 N Grandstaff Dr, Auburn, IN 46706-1666 | |
(260) 927-9270 | |
(260) 927-9272 |
Full Name | Bradley Thomas Penning |
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Gender | Male |
Speciality | Physical Therapist |
Location | 353 N Grandstaff Dr, Auburn, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265910202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05013026A (Indiana) | Primary |
Provider Name | St Vincent Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
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Bradley Thomas Penning, DPT 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 Ph: (260) 432-4700 | Bradley Thomas Penning, DPT 353 N Grandstaff Dr, Auburn, IN 46706-1666 Ph: (260) 927-9270 |
Brady Stabler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 North St, Auburn, IN 46706 Phone: 260-333-0031 Fax: 260-333-0685 | |
Mr. Brian William Roth, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 510 N Grandstaff Dr, Auburn, IN 46706 Phone: 260-927-9270 Fax: 260-927-9272 | |
Kirsten Ferrigan, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 353 N Grandstaff Dr, Auburn, IN 46706 Phone: 260-927-9270 | |
Ethan John Linder, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 North St, Auburn, IN 46706 Phone: 260-333-0031 Fax: 260-333-0685 | |
Mrs. Erin Marie Thomas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 N Grandstaff Dr, Auburn, IN 46706 Phone: 260-927-9270 Fax: 260-927-9272 | |
Lacy Mroz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1316 E 7th St, Auburn, IN 46706 Phone: 941-961-8280 | |
Natalie Kvas, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 North St, Auburn, IN 46706 Phone: 260-333-0031 Fax: 260-333-0685 |