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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
PT004206KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Solutions, PSC Past
since Jul 2, 2012
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
87001541MedicaidKY

Other providers in Bowling Green, KY

All providers in Bowling Green, KY · Physical Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.