Scott Blackburn Ii, PT | |
830 Falls Creek Dr, Vandalia, OH 45377-8600 | |
(937) 890-9235 | |
Not Available |
Full Name | Scott Blackburn Ii |
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Gender | Male |
Speciality | Physical Therapist |
Location | 830 Falls Creek Dr, Vandalia, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376234997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Xcel Physical Therapy Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1396334462 PECOS PAC ID: 9032525696 Enrollment ID: O20210304002492 |
Mailing Address | Practice Location Address |
---|---|
Scott Blackburn Ii, PT 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (502) 573-3282 | Scott Blackburn Ii, PT 830 Falls Creek Dr, Vandalia, OH 45377-8600 Ph: (937) 890-9235 |
Melissa Mitchell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 Fax: 937-890-9239 | |
Carolyn Elizabeth Wise, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 Fax: 937-890-9239 | |
Darren Jeffers, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 205 W National Rd Ste B, Vandalia, OH 45377 Phone: 937-280-0047 Fax: 937-200-1128 | |
Michelle Smith, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 205 W National Rd Ste B, Vandalia, OH 45377 Phone: 937-280-0047 Fax: 937-200-1128 | |
Benjamin David Ruggles, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 | |
David Gabriel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 Fax: 937-890-9239 | |
Noah Alexander Ogle, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 830 Falls Creek Dr, Vandalia, OH 45377 Phone: 937-890-9235 |