Beau Alstatt, PTA
Individual provider Active NPI Physical Therapy Assistant · Louisville, KY
NPI 1477083004 · NPPES record last updated Jun 15, 2017
Key facts
- NPI
- 1477083004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A00809 (KY)
- Practice address
- 9127 Galene Dr
Louisville, KY 40299-1579 - Phone
- (502) 896-8147
- NPI assigned
- Jun 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00809 | KY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A00809 | KY | Yes |
Addresses
Primary practice location
9127 Galene Dr
Louisville, KY 40299-1579
Mailing address
330 Twelve Oaks Dr
Mount Washington, KY 40047-7232
Other providers in Louisville, KY
- Zygimantas Ceslovas Alsauskas
- Misti Alsop
- Mohammad Saeed Alsorogi
- Stephanie Alsorogi
- Bahaaldin Alsoufi
- Daniel Benjamin Alt
- Michael Alt
- Alta Vista Counseling LLC
- Norah Altairi
- Alternative Adult Day Health Care Center
All providers in Louisville, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2017. 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.