Jeremy Koontz, PT | |
602 Keene Centre Dr, Nicholasville, KY 40356-1495 | |
(859) 544-1762 | |
Not Available |
Full Name | Jeremy Koontz |
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Gender | Male |
Speciality | Physical Therapist |
Location | 602 Keene Centre Dr, Nicholasville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023749546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | TP2022057 (Kentucky) | Secondary |
225100000X | Physical Therapist | 008587 (Kentucky) | Primary |
Provider Name | Agilitas Usa Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1962417444 PECOS PAC ID: 3375454648 Enrollment ID: O20130723000589 |
Mailing Address | Practice Location Address |
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Jeremy Koontz, PT Po Box 306393, Nashville, TN 37230-6393 Ph: () - | Jeremy Koontz, PT 602 Keene Centre Dr, Nicholasville, KY 40356-1495 Ph: (859) 544-1762 |
Elise Kearns Watson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 Creekrock Cir, Nicholasville, KY 40356 Phone: 859-401-2941 Fax: 480-323-2104 | |
Mrs. Michelle Lane Baumgardner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Sparks Ave, Nicholasville, KY 40356 Phone: 859-885-4171 | |
Mary Cathryn Fletcher, Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 Williams Rd, Nicholasville, KY 40356 Phone: 859-881-0333 | |
Kobie Hoover, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Williams Rd, Nicholasville, KY 40356 Phone: 859-881-0333 | |
Katelyn Calvert Suzanne Mcnamara, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 109 Wind Haven Dr Ste 100, Nicholasville, KY 40356 Phone: 859-224-2273 Fax: 859-224-4675 | |
Dr. Judith Marie Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 610 E Brannon Rd Ste 200, Nicholasville, KY 40356 Phone: 859-260-5555 |