Fuller Physical Therapy | |
227 S Main St, Beaver Dam, KY 42320-2131 | |
(270) 274-9221 | |
(270) 955-2003 |
Full Name | Fuller Physical Therapy |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 227 S Main St, Beaver Dam, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477857423 | NPI | - | NPPES |
7100316910 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
Provider Name | Rebecca J Frank |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801811138 PECOS PAC ID: 1254432891 Enrollment ID: I20070725000752 |
Provider Name | Kevin L Boothe |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760754527 PECOS PAC ID: 5294998324 Enrollment ID: I20120529000479 |
Provider Name | Kayla J Kukahiko |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043556491 PECOS PAC ID: 5991947087 Enrollment ID: I20130820001024 |
Provider Name | David C Fuller |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831499367 PECOS PAC ID: 2860620788 Enrollment ID: I20140122001553 |
Provider Name | Philip D Embry |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568699023 PECOS PAC ID: 8224356878 Enrollment ID: I20150413000565 |
Provider Name | J Dylan T James |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1265910251 PECOS PAC ID: 8426307570 Enrollment ID: I20180822001996 |
Provider Name | Tonia M French |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1780701490 PECOS PAC ID: 5991039422 Enrollment ID: I20190702003329 |
Provider Name | Matthew W Cravens |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1346895463 PECOS PAC ID: 8022346451 Enrollment ID: I20190823000391 |
Provider Name | Dakota Gowins |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891313748 PECOS PAC ID: 5294151536 Enrollment ID: I20200817002775 |
Provider Name | Kristin Nicole Board |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710585351 PECOS PAC ID: 7911318589 Enrollment ID: I20201203000659 |
Provider Name | Tyler Cherry |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083094478 PECOS PAC ID: 5799197281 Enrollment ID: I20201207000603 |
Provider Name | Susan Elizabeth Litzinger |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1891362828 PECOS PAC ID: 8325448871 Enrollment ID: I20210621002115 |
Provider Name | Joshua S Nagode |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295223394 PECOS PAC ID: 9032464151 Enrollment ID: I20210806000231 |
Provider Name | Czarmi-ann Coffman |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1366034837 PECOS PAC ID: 8426417130 Enrollment ID: I20230628003450 |
Mailing Address | Practice Location Address |
---|---|
Fuller Physical Therapy Po Box 445, Hartford, KY 42347-0445 Ph: (270) 274-9221 | Fuller Physical Therapy 227 S Main St, Beaver Dam, KY 42320-2131 Ph: (270) 274-9221 |
Tyler Cherry, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 227 South Main St, Beaver Dam, KY 42320 Phone: 270-274-9221 Fax: 270-955-2003 | |
Dr. Brittany Renfrow, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1595 S Us Highway 231, Beaver Dam, KY 42320 Phone: 270-274-9646 | |
J.dylan James, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 227 S Main St, Beaver Dam, KY 42320 Phone: 270-274-9221 | |
Czarmi Ann Coffman, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 227 S Main St, Beaver Dam, KY 42320 Phone: 270-274-9221 Fax: 270-955-2003 | |
Tate Downing, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1595 Us Hwy 31 S, Beaver Dam, KY 42320 Phone: 877-508-3237 | |
Katlin Cornelius, Physical Therapist Medicare: Medicare Enrolled Practice Location: 227 S Main St, Beaver Dam, KY 42320 Phone: 270-274-9221 Fax: 270-955-2003 |