Macy Bassler, PT, DPT, CBS
Individual provider Active NPI Pediatric Physical Therapist · Grayson, KY
NPI 1639828221 · NPPES record last updated May 19, 2024
Key facts
- NPI
- 1639828221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 008750 (KY)
- Practice address
- 128 Rigsbees Rd
Grayson, KY 41143-8832 - Phone
- (606) 315-3003
- NPI assigned
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| PT004318 | WV | MD | Physical Therapist |
| 008750 | KY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grayhaven Physical Therapy, LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004318 | WV | |
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Pediatric Physical Therapist | 2251P0200X | 008750 | KY | Yes |
Addresses
Primary practice location
128 Rigsbees Rd
Grayson, KY 41143-8832
Mailing address
128 Rigsbees Rd
Grayson, KY 41143-8832
Phone (606) 315-3003
Other providers in Grayson, KY
- At Home Visit, PLLC
- Tina Badgett
- Brittany Angel Banks
- Corina Barker
- Katrina Barker
- Taylor Bayes
- Bellefonte Physician Services, Inc.
- Brittney Bellman
- Miranda Beth Binion
- Bio-Medical Applications of Kentucky, Inc.
All providers in Grayson, KY · Pediatric 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 May 19, 2024. 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.