Traci Lyn Falbo, M.S., P.T., C.K.T.P

Individual provider Active NPI Physical Therapist · Charlestown, IN

NPI 1447339387 · NPPES record last updated Nov 17, 2007

Key facts

NPI
1447339387
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
05005090A (IN)
Practice address
2105 Spring Ridge CT
Charlestown, IN 47111-7807
Phone
(502) 836-8222
Fax
(812) 796-0116
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
05005090AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Traci L Rogers Physical Therapy, P. C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05005090A IN Yes

Addresses

Primary practice location

2105 Spring Ridge CT
Charlestown, IN 47111-7807

Mailing address

2105 Spring Ridge CT
Charlestown, IN 47111-7807
Phone (502) 836-8222

Other names

  • Traci Lyn Rogers Former name

Other providers in Charlestown, IN

All providers in Charlestown, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.