Dr Brandon Lee Samuels, DPT | |
190 Shadowmeade Ln, Mount Washington, KY 40047-6277 | |
(502) 538-2332 | |
Not Available |
Full Name | Dr Brandon Lee Samuels |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 190 Shadowmeade Ln, Mount Washington, 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 |
---|---|---|---|
1649844291 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | TP2021029 (Kentucky) | Secondary |
225100000X | Physical Therapist | 008318 (Kentucky) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sn Kentuckiana Rehab Llc | 1254671464 | 249 |
Provider Name | Sn Kentuckiana Rehab Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1609349018 PECOS PAC ID: 1254671464 Enrollment ID: O20190326002841 |
Mailing Address | Practice Location Address |
---|---|
Dr Brandon Lee Samuels, DPT 172 Halcomb Ct, Mount Washington, KY 40047-6474 Ph: (502) 904-9065 | Dr Brandon Lee Samuels, DPT 190 Shadowmeade Ln, Mount Washington, KY 40047-6277 Ph: (502) 538-2332 |
Jessica Sparks, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 119 E Sanders Ln, Mount Washington, KY 40047 Phone: 502-251-3821 | |
Katelyn Renee Hopper, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 Shadowmeade Ln, Mount Washington, KY 40047 Phone: 502-538-2332 | |
Tina Bryant, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 Falcon Crst, Mount Washington, KY 40047 Phone: 502-551-7645 Fax: 502-538-9254 |