| Christopher Brandner, | |
|
401 Neil Armstrong Way, Lebanon, OH 45036-3526 | |
| (866) 360-9355 | |
| (866) 360-9355 |
| Full Name | Christopher Brandner |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 9 Years |
| Location | 401 Neil Armstrong Way, Lebanon, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114453966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-016801 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| My Wellness Team Llc | 5890142145 | 41 |
| Provider Name | Empowerme Rehabilitation Illinois LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528652096 PECOS PAC ID: 2365718277 Enrollment ID: O20210309002610 |
| Provider Name | My Wellness Team LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619651767 PECOS PAC ID: 5890142145 Enrollment ID: O20231108003170 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Brandner, 911 E 86th St Ste 103, Indianapolis, IN 46240-1840 Ph: (866) 360-9355 | Christopher Brandner, 401 Neil Armstrong Way, Lebanon, OH 45036-3526 Ph: (866) 360-9355 |
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