| Mr Nicholas A Austin, MSPT, OCS | |
|
214 Parker Dr, Suite B, Lagrange, KY 40031-1200 | |
| (502) 222-0280 | |
| (502) 222-0290 |
| Full Name | Mr Nicholas A Austin |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 25 Years |
| Location | 214 Parker Dr, Lagrange, 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 |
|---|---|---|---|
| 1649320250 | NPI | - | NPPES |
| 000000484221 | Other | KY | ANTHEM PROVIDER ID |
| 000000946564 | Other | KY | BLUE CROSS BLUE SHIELD |
| 4132 | Other | KY | KY STATE LICENSE |
| 9514 | Other | KY | OCS CERTIFICATION |
| 7100392180 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | 004132 (Kentucky) | Secondary |
| 225100000X | Physical Therapist | 004132 (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prorehab Louisville, Llc | 4587981337 | 61 |
| 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 |
|---|---|
| Mr Nicholas A Austin, MSPT, OCS 13415 Forest Springs Dr, Louisville, KY 40245-2077 Ph: (502) 742-4825 | Mr Nicholas A Austin, MSPT, OCS 214 Parker Dr, Suite B, Lagrange, KY 40031-1200 Ph: (502) 222-0280 |
At Home Rehab Alliance, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5201 Arrowshire Dr, Lagrange, KY 40031 Phone: 502-222-2615 Fax: 502-222-2617 | |
Mr. George Edward Herbig Ii, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 W. Crystal Drive, Suite A, Lagrange, KY 40031 Phone: 502-222-6446 Fax: 502-222-5109 | |
Patricia D Gillette, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5201 Arrowshire Dr, Lagrange, KY 40031 Phone: 502-420-0901 Fax: 502-222-2617 | |
Alisa Marie Skinner, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 618 Kentucky Ave, Lagrange, KY 40031 Phone: 502-225-0666 Fax: 502-265-0731 | |
Mrs. Amanda Lynn Drawbaugh, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 Phone: 703-864-6695 Fax: 888-830-3223 | |
Mr. Mark Allen Clark, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5201 Arrowshire Dr, Lagrange, KY 40031 Phone: 502-222-2615 Fax: 502-222-2617 |