Brian G Arnold, DPT
Individual provider Active NPI Physical Therapist · Tell City, IN
NPI 1285300129 · NPPES record last updated Aug 20, 2021
Key facts
- NPI
- 1285300129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05014294A (IN)
- Practice address
- 1020 11TH St Ste C
Tell City, IN 47586-2130 - Phone
- (812) 547-7770
- Fax
- (812) 547-7784
- NPI assigned
- Aug 20, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
643 17TH St
Tell City, IN 47586-1132
Phone (812) 619-1263
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241211000261 | IN | Practitioner - Physical Therapist in Private Practice | 2567998792 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05014294A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Performance Rehabilitation, LLC | Physical Therapist | Current |
Accepting new patients |
| Advanced Rehabilitation,Inc. | Past |
Accepting new patients |
Locations
1447 21st St
Tell City, IN 47586
Phone (812) 619-1263
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05014294A | IN | Yes |
Addresses
Primary practice location
1020 11TH St Ste C
Tell City, IN 47586-2130
Mailing address
1020 11TH St Ste C
Tell City, IN 47586-2130
Phone (812) 547-7770
Other providers in Tell City, IN
- Advanced Rehabilitation,Inc.
- Advanced Speech Therapy LLC
- Hilary Aishe
- Rebecca A Alvey
- Amber Nicole Anderson
- Marilyn J Ayer
- Vanessa Lynn Barger
- Erlina Bay
- Jennifer Elaine Binkley
- Fadi Bleibel
All providers in Tell City, 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 Aug 20, 2021. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.