| Southern Indiana Physcial Therapy, Llc | |
|
40 E Cherry St, Scottsburg, IN 47170-1814 | |
| (812) 752-6202 | |
| (812) 752-9533 |
| Full Name | Southern Indiana Physcial Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 40 E Cherry St, Scottsburg, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750456851 | NPI | - | NPPES |
| 200519180A | Medicaid | IN | |
| 000000363472 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 05005009A (Indiana) | Primary |
| Provider Name | Keith A Dyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982794491 PECOS PAC ID: 1850364472 Enrollment ID: I20040812001444 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Indiana Physcial Therapy, Llc Po Box 10, Brownstown, IN 47220-0010 Ph: (812) 752-6202 | Southern Indiana Physcial Therapy, Llc 40 E Cherry St, Scottsburg, IN 47170-1814 Ph: (812) 752-6202 |
Prorehab Louisville, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1611 W Mcclain Ave, Scottsburg, IN 47170 Phone: 812-414-2570 Fax: 812-748-7442 | |
Assocaites In Pedicatric Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 375 E Mcclain Ave, Scottsburg, IN 47170 Phone: 502-633-1007 Fax: 502-437-0624 | |
Mr. Wwindell Go Ellorimo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 545 Moonglo Rd, Scottsburg, IN 47170 Phone: 812-248-9254 | |
Amit Kalra, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1350 N Todd Dr, Scottsburg, IN 47170 Phone: 812-752-5663 | |
Keith A Dyer, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 40 E Cherry St, Scottsburg, IN 47170 Phone: 812-752-6202 Fax: 812-752-9533 |