| Elite Physical Therapy And Sports Medicine Llc | |
|
823 Park East Blvd Ste B, Lafayette, IN 47905-0811 | |
| (765) 297-0975 | |
| (765) 297-0974 |
| Full Name | Elite Physical Therapy And Sports Medicine Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 823 Park East Blvd Ste B, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538896022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Bradford C Baisden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659305092 PECOS PAC ID: 3678756657 Enrollment ID: I20150810001169 |
| Provider Name | Brian Kobak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891578720 PECOS PAC ID: 0042673857 Enrollment ID: I20230828000872 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Physical Therapy And Sports Medicine Llc 823 Park East Blvd Ste B, Lafayette, IN 47905-0811 Ph: (765) 297-0975 | Elite Physical Therapy And Sports Medicine Llc 823 Park East Blvd Ste B, Lafayette, IN 47905-0811 Ph: (765) 297-0975 |
Pallavi Ram Shinde, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Dr. Hannah Marie Kiggans, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 210 S Creasy Ln Ste 2160, Lafayette, IN 47905 Phone: 765-607-6918 | |
Therapy Etc Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6433 Wea Woodlands Drive, Lafayette, IN 47909 Phone: 765-538-2230 Fax: 765-538-2230 | |
Lori Goebel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1411 S Creasy Ln Ste 100, Lafayette, IN 47905 Phone: 765-447-5552 Fax: 765-449-1054 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 S Creasy Ln Ste 2160, Lafayette, IN 47905 Phone: 765-607-6918 Fax: 765-421-6610 | |
Mr. Edward Lee Scott, PT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Nichole Schmidt, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1260 N 17th St, Lafayette, IN 47904 Phone: 765-423-6885 |