Tackett Physical Therapy Pllc in La Grange, KY - Medicare Physical Therapist Provider

Tackett Physical Therapy Pllc is a medicare enrolled "Physical Therapist" provider in La Grange, Kentucky. Their current practice location is 102 W Madison St, La Grange, Kentucky. You can reach out to their office (for appointments etc.) via phone at (606) 207-5248.

Tackett Physical Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Tackett Physical Therapy Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1003674409.

Contact Information

	Tackett Physical Therapy Pllc
	102 W Madison St, La Grange, KY 40031-1428
	(606) 207-5248
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tackett Physical Therapy Pllc
Type	Facility
Speciality	Physical Therapist
Location	102 W Madison St, La Grange, Kentucky
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003674409
Provider Enumeration Date: 03/11/2024
Last Update Date: 03/11/2024

Medicare PECOS Information:

PECOS PAC ID: 3072056159
Enrollment ID: O20240617003911

Medical Identifiers

Medical identifiers for Tackett Physical Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003674409	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tackett Physical Therapy Pllc acts as a billing entity for following providers:

Provider Name	Trent Tackett
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1689288219 PECOS PAC ID: 2365855764 Enrollment ID: I20210104000243

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tackett Physical Therapy Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tackett Physical Therapy Pllc 102 W Madison St, La Grange, KY 40031-1428 Ph: () -	Tackett Physical Therapy Pllc 102 W Madison St, La Grange, KY 40031-1428 Ph: (606) 207-5248

Reviews and Comments

Physical Therapist in La Grange, KY

Cassidy Nicole Raibert, PT, DPT, NCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695
Dr. Levi Ray Bristow, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2612 Sunningdale Pl W, La Grange, KY 40031 Phone: 502-759-2879
Julie Nicole Sergent, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2801 Heather Green Blvd, La Grange, KY 40031 Phone: 502-802-0156
Garret Scaman, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1407 E Crystal Dr Ste E, La Grange, KY 40031 Phone: 502-222-0280 Fax: 502-222-0290
Amro Moadi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695 Fax: 888-830-3233
Megan Elizabeth Sullivan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1407 E Crystal Dr Ste E, La Grange, KY 40031 Phone: 502-222-0280 Fax: 502-222-0290

Tackett Physical Therapy Pllc - Medicare Physical Therapist in La Grange, KY