| Garret Scaman, | |
|
1407 E Crystal Dr Ste E, La Grange, KY 40031-1456 | |
| (502) 222-0280 | |
| (502) 222-0290 |
| Full Name | Garret Scaman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 1407 E Crystal Dr Ste E, La Grange, 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 |
|---|---|---|---|
| 1346071560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 009153 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prorehab Louisville, Llc | 4587981337 | 61 |
| Multicare Health System | 7719899897 | 1815 |
| Provider Name | Prorehab Louisville, Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1982473880 PECOS PAC ID: 4587981337 Enrollment ID: O20150316002327 |
| Mailing Address | Practice Location Address |
|---|---|
| Garret Scaman, 1650 Lyndon Farm Ct Ste 300, Louisville, KY 40223-5005 Ph: (726) 202-3039 | Garret Scaman, 1407 E Crystal Dr Ste E, La Grange, KY 40031-1456 Ph: (502) 222-0280 |
Tackett Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 102 W Madison St, La Grange, KY 40031 Phone: 606-207-5248 | |
Jordan Crandell, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1407 E Crystal Dr Ste E, La Grange, KY 40031 Phone: 502-222-0280 | |
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 | |
Amro Moadi, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4603 Timberwalk Ct, La Grange, KY 40031 Phone: 703-864-6695 Fax: 888-830-3233 |