Dalton Matthew O'brien, DPT | |
6005 Timber Ridge Dr, Prospect, KY 40059-8134 | |
(502) 292-0800 | |
(502) 292-0400 |
Full Name | Dalton Matthew O'brien |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 6005 Timber Ridge Dr, Prospect, Kentucky |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205359148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 007186 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prorehab Louisville, Llc | 4587981337 | 48 |
Prorehab Louisville, Llc | 4587981337 | 48 |
Provider Name | Prorehab Louisville, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1700282589 PECOS PAC ID: 4587981337 Enrollment ID: O20150316002327 |
Mailing Address | Practice Location Address |
---|---|
Dalton Matthew O'brien, DPT 175 S English Station Rd Ste 218, Louisville, KY 40245-4199 Ph: (502) 882-9379 | Dalton Matthew O'brien, DPT 6005 Timber Ridge Dr, Prospect, KY 40059-8134 Ph: (502) 292-0800 |
Powerback Rehabilitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 6901 Carslaw Ct, Prospect, KY 40059 Phone: 502-480-1794 | |
Lindsey Nicole Ketcham, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6005 Timber Ridge Dr, Prospect, KY 40059 Phone: 502-292-0800 Fax: 502-292-0400 | |
Julie Mangeot, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5405 Killinur Dr, Prospect, KY 40059 Phone: 502-526-3828 | |
Mrs. Laura Elaine Stone, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9409 Chanteclair Dr, Prospect, KY 40059 Phone: 502-262-2009 Fax: 502-326-8992 | |
Mrs. Karen Anne Causey, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12902 Willowcreek Rd, Prospect, KY 40059 Phone: 502-228-7993 Fax: 502-228-7993 | |
Kathryn Schneider Roy, PT,DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5919 Timber Ridge Dr, Suite 101, Prospect, KY 40059 Phone: 502-292-0800 Fax: 502-292-0400 |