ELLIOT RICHARD MATTINGLY (NPI# 1154695864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154695864 |
| Entity Type | Individual |
| Full Name | ELLIOT RICHARD MATTINGLY |
| Credential | PT, DPT |
| Practice Address |
875 Pennsylvania Ave Bardstown KY 40004-2529 |
| Mailing Address |
439 Bloomfield Rd Bardstown KY 40004-2010 |
| Practice Telephone | 5023496961 |
| Mailing Telephone | 5024600125 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
005992 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
875 PENNSYLVANIA AVE |
| City | BARDSTOWN |
| State | KY |
| Zip Code | 40004-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497717722 | James Robin Hinkebein | Physical Therapist | 875 Pennsylvania Ave, Suite A, Bardstown, KY 40004-2529 | 2006-04-03 |
| 1528498185 | Heather Hamilton Hardy | Nurse Practitioner | 875 Pennsylvania Ave, Bardstown, KY 40004-2529 | 2013-11-19 |
| 1376989145 | Saint Joseph Medical Foundation, Inc. | Durable Medical Equipment & Medical Supplies | 875 Pennsylvania Ave, Bardstown, KY 40004-2529 | 2013-05-20 |
| 1316212921 | Saint Joseph Medical Foundation, Inc. | Nurse Practitioner | 875 Pennsylvania Ave, Bardstown, KY 40004-2529 | 2012-03-14 |
| 1740576222 | Patricia D Pulliam | Nurse Practitioner | 875 Pennsylvania Ave, Bardstown, KY 40004-2529 | 2011-06-23 |
| 1477859155 | Barrett Alexander Mattingly | Physical Therapist | 875 Pennsylvania Ave, Suite A, Bardstown, KY 40004-2529 | 2011-01-28 |
| 1669777017 | Nicole Leigh Gee | Physical Therapist | 875 Pennsylvania Ave, Suite A, Bardstown, KY 40004-2529 | 2011-01-17 |
| 1447589122 | Frances Nicole Anderson | Occupational Therapist | 875 Pennsylvania Ave, Suite A, Bardstown, KY 40004-2529 | 2009-12-09 |
| 1770740821 | Kentucky Orthopedic Rehabilitation LLC | Occupational Therapist | 875 Pennsylvania Ave, Ste A, Bardstown, KY 40004-2529 | 2008-05-16 |
| 1760679138 | Tammy Reid Brooks | Physical Therapist | 875 Pennsylvania Ave, Bardstown, KY 40004-2529 | 2007-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
| 1285296194 | Hardin Memorial Hospital | Pharmacy | 3615 E John Rowan Blvd, Bardstown, KY 40004 | 2019-07-01 |
| 1376024919 | Flaget Healthcare Inc | Clinic/Center | 110 N. Salem Drive, Bardstown, KY 40004 | 2018-08-22 |
| 1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
| 1477922490 | Kristi Ballard | Counselor | 1000 E John Rowan Blvd Ste 107, Bardstown, KY 40004 | 2015-09-21 |
| 1659705309 | Patricia Hall | Speech-Language Pathologist | 310 South 6th Street, Bardstown, KY 40004 | 2013-08-29 |
| 1629314885 | Saint Joseph-anc Home Care Services, LLC | Hospice Care, Community Based | 711 Mcdowell Blvd, Bardstown, KY 40004 | 2012-12-17 |
| 1780920058 | Stars and Stripes Medical LLC | Durable Medical Equipment & Medical Supplies | 301 W. Stephen Foster Ave, Suite B., Bardstown, KY 40004 | 2012-12-14 |
| 1366790230 | Lynda Onyinyechi Uzonwune | Pharmacist | 202 West Stephen Foster Avenue, Bardstown, KY 40004 | 2012-08-26 |
| Find all providers in zip 40004 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421298 | Whitney Jo Ressett | Physical Therapist | 216 Fountain Ct Ste 201, Lexington, KY 40509-2730 | 2020-09-14 |
| 1497398697 | Kristin Burch Jackson | Physical Therapist | 317 Wallace Ave Ste 203, Louisville, KY 40207-3060 | 2019-10-21 |
| 1619492279 | Madisson Turner | Physical Therapist | 708 Westport Rd Ste 200, Elizabethtown, KY 42701-3818 | 2017-08-04 |
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1013272913 | Stacy Renee Downs | Physical Therapist | 4121 Shelbyville Rd., Suite 7, Louisville, KY 40207 | 2012-07-07 |
| 1326147364 | Patricia Jo Metten | Physical Therapist | 1404 Eastern Pkwy, Louisville, KY 40204-1512 | 2006-09-22 |
| 1720186562 | Holly Jo Lewis | Physical Therapist | 2624 Ring Rd, Suite 101, Elizabethtown, KY 42701-9118 | 2006-09-20 |
| 1447226964 | Nikki Lynn Butler | Physical Therapist | 450 Joel Dr., Blanchfield Army Community Hospital, Fort Campbell, KY 42223-5349 | 2006-02-24 |
| 1689671661 | Amy M Herr | Physical Therapist | 471 Klutey Park Plaza Dr, Henderson, KY 42420-3347 | 2005-07-05 |
| 1962407122 | Shauna M Sybert | Physical Therapist | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2005-06-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.