Anne Marie Raispis, P.T.

Individual provider Active NPI Physical Therapist · Crescent Springs, KY

NPI 1295880342 · NPPES record last updated Aug 16, 2019

Key facts

NPI
1295880342
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT-001655 (KY)
Practice address
2083 Lakelyn CT
Crescent Springs, KY 41017-4473
Phone
(859) 803-8890
NPI assigned
Jan 25, 2007
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
PT-001655KYMDPhysical Therapist
PT4825OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Outcomes Physical Therapy LLC Past Accepting new patients
Sprout Therapy Services Past
since Aug 18, 2019
Accepting new patients
Pain Solutions Network Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4825 OH
Physical Therapist 225100000X PT-001655 KY Yes

Addresses

Primary practice location

2083 Lakelyn CT
Crescent Springs, KY 41017-4473

Mailing address

2083 Lakelyn CT
Crescent Springs, KY 41017-4473
Phone (859) 344-1529

Other practice location 1

1325 E Kemper Rd
suite 100
Springdale, OH 45246-3921
Phone (513) 671-7246

Other practice location 2

40 Utz Dr
Florence, KY 41042-1539
Phone (859) 912-1081

Other identifiers

IdentifierTypeStateIssuer
611430659OtherOHHUMANA
611430659OtherOHPHCS
611430659OtherOHUNITED HEALTHCARE

Other providers in Crescent Springs, KY

All providers in Crescent Springs, KY · Physical Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.