Alice K Allen-Gambrel, PT

Individual provider Active NPI Physical Therapist · Lexington, KY

NPI 1891786653 · NPPES record last updated Nov 11, 2015

Key facts

NPI
1891786653
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
004588 (KY)
Practice address
2087 Von List Way
Lexington, KY 40502-2602
Phone
(859) 421-0776
NPI assigned
Nov 2, 2005
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)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Rehabilitation Associates, PSC Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004588 KY Yes

Addresses

Primary practice location

2087 Von List Way
Lexington, KY 40502-2602

Mailing address

2087 Von List Way
Lexington, KY 40502-2602
Phone (859) 421-0776

Other providers in Lexington, KY

All providers in Lexington, KY · Physical Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.