Amanda Bastien
Individual provider Active NPI Physical Therapist · Louisville, KY
NPI 1548752330 · NPPES record last updated Sep 20, 2021
Key facts
- NPI
- 1548752330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 007422 (KY)
- Practice address
- 2011 Grinstead Dr Unit 101
Louisville, KY 40204-1296 - Phone
- (502) 813-7838
- Fax
- (502) 813-7839
- NPI assigned
- Jun 6, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Emory University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agilitas USA, Inc
Benchmark Physical Therapy of Ky LLC
Practice addresses (Care Compare)
2206 State St
Suite 300
New Albany, IN 47150-4967
Phone (812) 206-0000
291 N Hubbards LN
Suite 195
Louisville, KY 40207-8227
Phone (502) 632-4003
5524 B New Cut Rd
Louisville, KY 40214-4330
Phone (502) 290-4783
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180817002440 | KY | Practitioner - Physical Therapist in Private Practice | 2769731173 | Reassigns benefits to 4 organizations |
| I20231027000244 | IN | Practitioner - Physical Therapist in Private Practice | 2769731173 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Kentucky LLC | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current |
Accepting new patients |
| Drayer Physical Therapy Kentucky LLC | Physical Therapist | Current |
Accepting new patients |
| Benchmark Physical Therapy of Ky LLC | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current |
Accepting new patients |
| Results-Ast JV, LLC | Physical Therapist | Current |
Accepting new patients |
| Agilitas USA Inc | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1370 Veterans Pkwy
Ste 1100
Clarksville, IN 47129
Phone (812) 727-6053
2206 State St
Ste 300
New Albany, IN 47150
Phone (812) 206-0000
861 Fairview Ave
Ste 102
Bowling Green, KY 42101
Phone (270) 783-8438
1725 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 467-9969
118 Market Place Cir
Ste D
Georgetown, KY 40324
Phone (859) 300-1335
10634 Eagle Way
Hopkinsville, KY 42240
Phone (270) 220-0059
150 W Lowry Ln
Ste 150
Lexington, KY 40503
Phone (859) 421-4416
1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086
4611 Outer Loop
Louisville, KY 40219
Phone (502) 625-6233
2011 Grinstead Dr
Unit 101
Louisville, KY 40204
Phone (502) 813-7838
7943 Bardstown Rd
Louisville, KY 40291
Phone (502) 813-8080
805 Blankenbaker Pkwy
Ste 107
Louisville, KY 40243
Phone (502) 253-0833
291 N Hubbards Ln
Ste 120
Louisville, KY 40207
Phone (502) 632-4003
291 N Hubbards Ln
Ste 195
Louisville, KY 40207
Phone (502) 632-4003
6661 Dixie Hwy
Ste 8
Louisville, KY 40258
Phone (502) 216-1628
4610 Chamberlain Ln
Louisville, KY 40241
Phone (502) 618-8200
5524 New Cut Rd
#B
Louisville, KY 40214
Phone (502) 290-4783
805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833
843 Eastern Byp
Ste 3
Richmond, KY 40475
Phone (859) 544-1770
1621 Midland Trl
Shelbyville, KY 40065
Phone (502) 466-3374
1711 Cedar Grove Rd
Ste 30
Shepherdsville, KY 40165
Phone (502) 543-5475
200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152
800 Crescent Centre Dr
Ste 300
Franklin, TN 37067
800 Crescent Centre Dr
Ste 600
Franklin, TN 37067
Phone (615) 416-0199
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007422 | KY | Yes |
Addresses
Primary practice location
2011 Grinstead Dr Unit 101
Louisville, KY 40204-1296
Mailing address
PO Box 306393
Nashville, TN 37230-6393
Phone (615) 373-1350
Other practice location 1
291 N Hubbards Ln Ste 120
Louisville, KY 40207
Phone (502) 632-4003
Other providers in Louisville, KY
- Laura Lea Bassett
- Tara Bassett
- Erin Nicole Bassi
- Alexandria Janine Bassler
- Jonathan Charles Bastick III
- Natalia Almeida Bastos Bitencourt
- Kara Maureen Batchelor
- Brian J Batdorf
- Aaron T. Bates
- Amy Bates
All providers in Louisville, 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 Sep 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.