| Southeast Kansas Orthopedic And Sports Physical Therapy, Llc | |
|
1623 S Main St, Fort Scott, KS 66701-2656 | |
| (620) 223-4555 | |
| Not Available |
| Full Name | Southeast Kansas Orthopedic And Sports Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1623 S Main St, Fort Scott, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396844874 | NPI | - | NPPES |
| 115683 | Other | KS | BCBS GROUP |
| 200421170A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11-02934 (Kansas) | Secondary |
| 225100000X | Physical Therapist | 24-00361 (Kansas) | Primary |
| Provider Name | William B Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356452502 PECOS PAC ID: 7618972555 Enrollment ID: I20060927000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Kansas Orthopedic And Sports Physical Therapy, Llc Po Box 14, Fort Scott, KS 66701-0014 Ph: (620) 223-4555 | Southeast Kansas Orthopedic And Sports Physical Therapy, Llc 1623 S Main St, Fort Scott, KS 66701-2656 Ph: (620) 223-4555 |
Bradbury Therapy Consultants, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 323 E Wall St, Fort Scott, KS 66701 Phone: 620-215-2154 Fax: 620-223-1138 | |
Katricia Bradbury, MSPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 116 S Holbrook St, Fort Scott, KS 66701 Phone: 620-215-2154 | |
William B Allen, RPT,ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1623 S Main St, Fort Scott, KS 66701 Phone: 620-223-4555 | |
Janet Elaine Smith, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 405 Woodland Hills Blvd, Fort Scott, KS 66701 Phone: 913-471-4634 | |
Eric D Baldonado, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 Woodland Hills Blvd, Fort Scott, KS 66701 Phone: 620-223-7029 | |
Meredith Tucker, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 961 240th St, Fort Scott, KS 66701 Phone: 913-406-8040 Fax: 515-864-0150 |