Mr Brian William Roth, MPT | |
510 N Grandstaff Dr, Auburn, IN 46706 | |
(260) 927-9270 | |
(260) 927-9272 |
Full Name | Mr Brian William Roth |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 29 Years |
Location | 510 N Grandstaff Dr, Auburn, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033285846 | NPI | - | NPPES |
000000350992 | Other | IN | ANTHEM BCBS |
200189290A | Medicaid | IN | |
35179001202 | Other | IN | CARESOURCE |
N299947 | Other | IN | HARMONY |
1424 | Other | IN | PHP |
4423623 | Other | IN | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 05007103A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Choice Physical Therapy | 5496148389 | 7 |
Provider Name | Choice Physical Therapy |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1689332868 PECOS PAC ID: 5496148389 Enrollment ID: O20220217002046 |
Mailing Address | Practice Location Address |
---|---|
Mr Brian William Roth, MPT 4251 Lahmeyer Rd, Fort Wayne, IN 46815-5676 Ph: (260) 432-4700 | Mr Brian William Roth, MPT 510 N Grandstaff Dr, Auburn, IN 46706 Ph: (260) 927-9270 |
Brady Stabler, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 North St, Auburn, IN 46706 Phone: 260-333-0031 Fax: 260-333-0685 | |
Kirsten Ferrigan, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 353 N Grandstaff Dr, Auburn, IN 46706 Phone: 260-927-9270 | |
Ethan John Linder, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 North St, Auburn, IN 46706 Phone: 260-333-0031 Fax: 260-333-0685 | |
Mrs. Erin Marie Thomas, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 N Grandstaff Dr, Auburn, IN 46706 Phone: 260-927-9270 Fax: 260-927-9272 | |
Lacy Mroz, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1316 E 7th St, Auburn, IN 46706 Phone: 941-961-8280 | |
Natalie Kvas, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 North St, Auburn, IN 46706 Phone: 260-333-0031 Fax: 260-333-0685 |