Pro Physical Therapy is a medicare enrolled "Clinic/center - Physical Therapy" provider in Benton, Kentucky. Their current practice location is
302 Us Highway 68 W, Benton, Kentucky. You can reach out to their office (for appointments etc.) via phone at
(314) 277-9718.
Pro Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Pro Physical Therapy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1457026171.
Healthcare Provider's Profile
| Full Name | Pro Physical Therapy |
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| Type | Facility |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 302 Us Highway 68 W, Benton, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457026171
- Provider Enumeration Date: 08/13/2021
- Last Update Date: 12/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658762331
- Enrollment ID: O20220107000711
Medical Identifiers
Medical identifiers for Pro Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457026171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Pro Physical Therapy acts as a billing entity for following providers:
| Provider Name | Jani L Brewer |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1366629354
PECOS PAC ID: 1355420860
Enrollment ID: I20150420000754 |
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| Provider Name | Weston Gerard Jones |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1013576859
PECOS PAC ID: 6002143021
Enrollment ID: I20190813002466 |
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| Provider Name | Levi Crossley |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1144958661
PECOS PAC ID: 1850777848
Enrollment ID: I20220928001926 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pro Physical Therapy is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Pro Physical Therapy
302 Us Highway 68 W,
Benton, KY 42025-7797
Ph: (314) 277-9718 | Pro Physical Therapy
302 Us Highway 68 W,
Benton, KY 42025
Ph: (314) 277-9718 |
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