Andrea N Dexter, MPT
Individual provider Active NPI Physical Therapist · Bowling Green, KY
NPI 1083666044 · NPPES record last updated Sep 6, 2007
Key facts
- NPI
- 1083666044
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT004206 (KY)
- Practice address
- 1777 Ashley Cir
Bowling Green, KY 42104-3339 - Phone
- (270) 793-0395
- Fax
- (270) 793-0765
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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 |
|---|---|---|---|
| PT004206 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Solutions, PSC | Past |
Accepting new patients | |
| Schafer Physical Therapy LLC | Physical Therapist | Past | Accepting new patients |
| Rehabilitation Services PSC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004206 | KY | Yes |
Addresses
Primary practice location
1777 Ashley Cir
Bowling Green, KY 42104-3339
Mailing address
1777 Ashley Cir
Bowling Green, KY 42104-3339
Phone (270) 793-0395
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87001541 | Medicaid | KY |
Other providers in Bowling Green, KY
- Destiny Adult, Child & Family Services LLC
- Susan Diane Devine
- Megan Lynn Devore
- Paula Devore
- Kevin D Dew
- DHP Retail Entity, LLC
- DHP Retail Entity, LLC
- Retina A Dick
- Natalie Dickerson
- Sidney Marie Dickhaus
All providers in Bowling Green, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2007. 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.