Wesley A Bratcher, DPT
Individual provider Active NPI Physical Therapist · Russellville, KY
NPI 1114577871 · NPPES record last updated Nov 24, 2021
Key facts
- NPI
- 1114577871
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 007710 (KY)
- Practice address
- 105 Robins Way Ste 201
Russellville, KY 42276-1129 - Phone
- (270) 726-6640
- NPI assigned
- Sep 16, 2019
- Sex
- Male
- 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 |
|---|---|---|---|
| CP007813T | CO | MD | Physical Therapist |
Interoperability endpoints
- bratwa@mchealth.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP007813T | CO | |
| Physical Therapist | 225100000X | 007710 | KY | Yes |
Addresses
Primary practice location
105 Robins Way Ste 201
Russellville, KY 42276-1129
Mailing address
607 Baden LN
Bowling Green, KY 42104-6530
Other practice location 1
6980 Mesa Ridge Pkwy Ste 100
Fountain, CO 80817-1564
Phone (719) 391-0044
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | BratWA@mchealth.net | Direct |
Other providers in Russellville, KY
- Lauren Megan Boone
- Bowling Green-Warren County Community Hospital Corporation
- Bowling Green-Warren County Community Hospital Corporation
- Bowling Green-Warren County Community Hospital Corporation
- Jane Rebecca Brasseale
- Brian Lynch
- Leroy Selby Buck Jr.
- Kimberly Cheree Buckner
- Laura Bush
- Lee Ann Byrd
All providers in Russellville, 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 Nov 24, 2021. 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.