Brittany Blue
Individual provider Active NPI Physical Therapist · Powderly, KY
NPI 1154728079 · NPPES record last updated Oct 13, 2016
Key facts
- NPI
- 1154728079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 006500 (KY)
- Practice address
- 1010 Medical Center Dr
Powderly, KY 42367-5463 - Phone
- (270) 377-1600
- NPI assigned
- Nov 20, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161116002797 | KY | Practitioner - Physical Therapist in Private Practice | 1254610132 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Physical Therapist | Current |
Accepting new patients |
| Baptist Health Medical Group Inc | Current |
Accepting new patients |
Locations
203 N 2nd St
Central City, KY 42330
Phone (270) 754-4300
900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900
200 Clinic Dr
Madisonville, KY 42431
Phone (270) 821-8874
2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800
1010 Medical Center Dr
Powderly, KY 42367
Phone (270) 338-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006500 | KY | Yes |
Addresses
Primary practice location
1010 Medical Center Dr
Powderly, KY 42367-5463
Mailing address
900 Hospital Dr
Madisonville, KY 42431-1644
Other providers in Powderly, KY
- Baptist Health Medical Group Inc
- Baptist Health Medical Group, Inc
- Alan Bearnson
- Beechmont Pharmacy, Inc.
- Peggy L Bethel
- Joseph R Boggess
- Cathy Elaine Browning
- William I Browning
- Marty D Casebier
- Tiffany Caudill
All providers in Powderly, 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 Oct 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.