| Elliot Richard Mattingly, PT, DPT | |
|
875 Pennsylvania Ave, Bardstown, KY 40004-2529 | |
| (502) 349-6961 | |
| Not Available |
| Full Name | Elliot Richard Mattingly |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 15 Years |
| Location | 875 Pennsylvania Ave, Bardstown, Kentucky |
| 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 |
|---|---|---|---|
| 1154695864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 005992 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 680 |
| Sn Kentuckiana Rehab, Llc | 1254671464 | 258 |
| Provider Name | Kentucky Orthopedic Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1093715054 PECOS PAC ID: 0345157293 Enrollment ID: O20090211000813 |
| Provider Name | Sn Kentuckiana Rehab, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1609349018 PECOS PAC ID: 1254671464 Enrollment ID: O20190326002841 |
| Mailing Address | Practice Location Address |
|---|---|
| Elliot Richard Mattingly, PT, DPT 439 Bloomfield Rd, Bardstown, KY 40004-2010 Ph: (502) 460-0125 | Elliot Richard Mattingly, PT, DPT 875 Pennsylvania Ave, Bardstown, KY 40004-2529 Ph: (502) 349-6961 |
Bluegrass Women's Health Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 124 Limestone Blvd, Bardstown, KY 40004 Phone: 502-439-7829 | |
Andrea Jones, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 S Salem Dr, Bardstown, KY 40004 Phone: 502-460-0131 Fax: 502-385-0234 | |
Mary Catherine Mudd, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3615 E John Rowan Blvd Ste 201, Bardstown, KY 40004 Phone: 502-331-4778 | |
Mrs. Leticia Jo Filiatreau, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 115 S Salem Dr, Bardstown, KY 40004 Phone: 502-350-0880 Fax: 502-350-3640 | |
Mrs. Cindy Marie Robinson, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 888 Old Nazareth Rd, Bardstown, KY 40004 Phone: 502-507-7182 Fax: 502-349-6363 | |
Mr. Legrande Richard Byrnes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 875 Pennsylvania Ave Ste 100, Bardstown, KY 40004 Phone: 502-349-6961 Fax: 502-348-1789 |