Alana K Bartlett, PT
Individual provider Active NPI Physical Therapist · Leavenworth, IN
NPI 1063539799 · NPPES record last updated Oct 23, 2015
Key facts
- NPI
- 1063539799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05009202A (IN)
- Practice address
- 712 W 2ND St
Leavenworth, IN 47137-2264 - Phone
- (812) 739-2292
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05009202A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05009202A | IN | Yes |
Addresses
Primary practice location
712 W 2ND St
Leavenworth, IN 47137-2264
Mailing address
South Arkansas Rehabilitation
1200 Old Warren Road
Monticello, AR 71655-9723
Phone (870) 367-1548
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05009202A | Other | IN | PHYSICAL THERAPIST LIC |
Other providers in Leavenworth, IN
- Black Pine Real Estate, LLC
- Deaconess Memorial Medical Center Inc
- Extendicare Health Services
- Jill Fleace
- Harrison County Hospital
All providers in Leavenworth, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.