Ellen Ward Vogt, DPT | |
1650 Bryan Station Rd Ste 122, Lexington, KY 40505-2139 | |
(859) 293-6133 | |
Not Available |
Full Name | Ellen Ward Vogt |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1650 Bryan Station Rd Ste 122, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164038261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 008141 (Kentucky) | Primary |
225100000X | Physical Therapist | TP2020066 (Kentucky) | Secondary |
Provider Name | Sn Kentuckiana Rehab Llc |
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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 |
---|---|
Ellen Ward Vogt, DPT 6395 Delaney Ferry Ext, Versailles, KY 40383-8599 Ph: () - | Ellen Ward Vogt, DPT 1650 Bryan Station Rd Ste 122, Lexington, KY 40505-2139 Ph: (859) 293-6133 |
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Mark Kleckner, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1722 Sharkey Way, Lexington, KY 40511 Phone: 859-245-0692 | |
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