| Jonathan Criswell, DPT | |
|
1 S Creek Dr Ste 116, Monticello, KY 42633-9472 | |
| (606) 348-3314 | |
| Not Available |
| Full Name | Jonathan Criswell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1 S Creek Dr Ste 116, Monticello, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760112858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT8572 (Kentucky) | Primary |
| Provider Name | Monticello Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1982686887 PECOS PAC ID: 2961421011 Enrollment ID: O20051117000400 |
| Provider Name | Wch Therapy Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1194434696 PECOS PAC ID: 0042681066 Enrollment ID: O20230130000648 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Criswell, DPT 1 S Creek Dr Ste 116, Monticello, KY 42633-9472 Ph: (606) 348-3314 | Jonathan Criswell, DPT 1 S Creek Dr Ste 116, Monticello, KY 42633-9472 Ph: (606) 348-3314 |
Kiara Ann Pryor, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 S Creek Dr Ste 116, Monticello, KY 42633 Phone: 606-348-3314 | |
Mrs. Linda J Brown, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 S Creek Dr, Suite 116, Monticello, KY 42633 Phone: 606-348-3314 Fax: 606-348-3315 | |
Mr. Samuel M Brown, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1 S Creek Dr, Ste 116, Monticello, KY 42633 Phone: 606-348-3314 Fax: 606-348-3315 | |
Kimberly J Crawford, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1 S Creek Dr Ste 116, Monticello, KY 42633 Phone: 606-348-3314 |