Brad Lee Profitt, PT, DPT, CSCS, DC, - Medicare Physical Therapist in Russell, KY

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Brad Lee Profitt, PT, DPT, CSCS, DC, is a medicare enrolled "Physical Therapist" provider in Russell, Kentucky. His current practice location is 1451 Diederich Blvd, Russell, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 388-2173.

Brad Lee Profitt is licensed to practice in Kentucky (license number 005907) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1518055714.

Contact Information

Brad Lee Profitt, PT, DPT, CSCS, DC,
1451 Diederich Blvd,
Russell, KY 41169-1718
(606) 388-2173
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBrad Lee Profitt
GenderMale
SpecialityPhysical Therapist
Location1451 Diederich Blvd, Russell, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518055714
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 04/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3476720160
  • Enrollment ID: I20240418004038

Medical Identifiers

Medical identifiers for Brad Lee Profitt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518055714NPI-NPPES
7562230OtherAETNA
000000216813OtherKYANTHEM 12 DIGIT PIN
4402131OtherUNITED HEALTHCARE
350054419OtherKYRR MEDICARE NUMBER
85001504MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 250594 (Kentucky)Secondary
225100000XPhysical Therapist 005907 (Kentucky)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brad Lee Profitt allows following entities to bill medicare on his behalf.
Provider NameBodyworx Physical Therapy & Chiropractic Wellness Center Pllc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1598819468
PECOS PAC ID: 3870510142
Enrollment ID: O20240418003780

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. Brad Lee Profitt 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 AddressPractice Location Address
Brad Lee Profitt, PT, DPT, CSCS, DC,
1451 Diederich Blvd,
Russell, KY 41169-1718

Ph: (606) 836-6683		Brad Lee Profitt, PT, DPT, CSCS, DC,
1451 Diederich Blvd,
Russell, KY 41169-1718

Ph: (606) 388-2173

Reviews and Comments


Physical Therapist in Russell, KY

Jeremy Stephenson,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 1451 Diederich Blvd, Russell, KY 41169
Phone: 606-836-6683    
Anita Frazier-brooks, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 452 Bluebird Dr, Russell, KY 41169
Phone: 606-922-2596    
Jasmine Smith,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1451 Diederich Blvd, Russell, KY 41169
Phone: 606-836-6683    
Nicholas Dellaflora,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1490 Diederich Blvd, Russell, KY 41169
Phone: 606-833-9444    Fax: 606-833-9442

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.