| Brian Kobak, PT, DPT | |
|
823 Park East Blvd Ste B, Lafayette, IN 47905-0811 | |
| (765) 297-0975 | |
| Not Available |
| Full Name | Brian Kobak |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 823 Park East Blvd Ste B, Lafayette, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891578720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05015190A (Indiana) | Primary |
| Provider Name | Elite Physical Therapy And Sports Medicine Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1538896022 PECOS PAC ID: 8527443324 Enrollment ID: O20220914003543 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Kobak, PT, DPT 823 Park East Blvd Ste B, Lafayette, IN 47905-0811 Ph: (765) 297-0975 | Brian Kobak, PT, DPT 823 Park East Blvd Ste B, Lafayette, IN 47905-0811 Ph: (765) 297-0975 |
Pallavi Ram Shinde, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Lori Goebel, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1411 S Creasy Ln Ste 100, Lafayette, IN 47905 Phone: 765-447-5552 Fax: 765-449-1054 | |
Athletico Ltd Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 S Creasy Ln Ste 2160, Lafayette, IN 47905 Phone: 765-607-6918 Fax: 765-421-6610 | |
Mr. Edward Lee Scott, PT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Nichole Schmidt, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1260 N 17th St, Lafayette, IN 47904 Phone: 765-423-6885 | |
Woven Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Executive Dr Ste B, Lafayette, IN 47905 Phone: 765-714-8272 | |
Lowell Straw, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1260 N 17th St, Lafayette, IN 47904 Phone: 765-423-6885 Fax: 765-423-6099 |