Shane N Allen, | |
103 S Pine St, Pineville, KY 40977-1610 | |
(606) 254-2075 | |
Not Available |
Full Name | Shane N Allen |
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Gender | Male |
Speciality | Physical Therapist |
Location | 103 S Pine St, Pineville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174004030 | NPI | - | NPPES |
1720589724 | Other | KY | CHAMPION KY NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 007501 (Kentucky) | Primary |
Provider Name | Champion Physical Therapy Kentucky, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1720589724 PECOS PAC ID: 3476818519 Enrollment ID: O20180521001371 |
Mailing Address | Practice Location Address |
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Shane N Allen, 103 S Pine St, Pineville, KY 40977-1610 Ph: () - | Shane N Allen, 103 S Pine St, Pineville, KY 40977-1610 Ph: (606) 254-2075 |
Matthew Scott Powers, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 103 Pine St., Pineville, KY 40977 Phone: 606-254-2075 Fax: 606-219-4251 | |
Timothy Roberts Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 S Pine St, Pineville, KY 40977 Phone: 606-254-2075 | |
David Williams, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Rr 8 Box 102, Pineville, KY 40977 Phone: 606-337-7071 | |
Horizon Adult Health Care Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 313 S Cherry St, Pineville, KY 40977 Phone: 606-337-7505 Fax: 606-337-9018 | |
Michael Wong, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 103 S Pine St, Pineville, KY 40977 Phone: 606-254-2075 | |
Samantha Maiden, P.T., M.S.ED. Physical Therapist Medicare: Medicare Enrolled Practice Location: 133 Henderson Church Road, Pineville, KY 40977 Phone: 606-347-2398 Fax: 606-337-8232 |