ELIZABETHTOWN PHYSICAL THERAPY PSC (NPI# 1760483739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760483739 |
| Entity Type | Organization |
| Organization Name | ELIZABETHTOWN PHYSICAL THERAPY PSC |
| Practice Address |
1792 Alysheba Way Suite 140 Lexington KY 40509-2288 |
| Mailing Address |
4714 Gettysburg Rd Legal Department Mechanicsburg PA 17055-4325 |
| Practice Telephone | 8592649249 |
| Practice Fax Number | 8592640016 |
| Mailing Telephone | 7179721100 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | MR. MICHAEL E. TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
KY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PTPP | 7971 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255536579 | Elizabethtown Physical Therapy Psc | Clinic/Center | 315 East Broadway, Campbellsville, KY 42718 | 2007-06-18 |
| 1437354750 | Elizabethtown Physical Therapy Psc | Clinic/Center | 3211 Frederica Street Tower Place, Suite A, Owensboro, KY 42301 | 2007-06-18 |
| 1457352007 | Elizabethtown Physical Therapy Psc | Clinic/Center | 815 Fairway Dr, Suite C, Brandenburg, KY 40108 | 2005-08-04 |
| 1073514626 | Elizabethtown Physical Therapy Psc | Clinic/Center | 12330 Shelbyville Rd, Suite 300, Louisville, KY 40243-1471 | 2005-08-04 |
| 1609877679 | Elizabethtown Physical Therapy Psc | Clinic/Center | 709 E Main St, Lebanon, KY 40033 | 2005-08-02 |
| 1255332193 | Elizabethtown Physical Therapy Psc | Clinic/Center | 1909 Campbellsville Rd, Greensburg, KY 42743 | 2005-08-02 |
| 1194726166 | Elizabethtown Physical Therapy Psc | Clinic/Center | 9424 Brownsboro Rd, Louisville, KY 40241 | 2005-08-02 |
| Street Address |
1792 ALYSHEBA WAY SUITE 140 |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568423275 | Robert Swayze | Physical Therapist | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2006-03-31 |
| 1033632658 | Ryan Charles Vietmeier | Physical Therapist | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2017-07-25 |
| 1700259223 | Laura Elizabeth Williams | Physical Therapist | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2288 | 2015-11-05 |
| 1144693656 | Austin Tiller | Physical Therapist | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2288 | 2015-11-05 |
| 1700215720 | Tori Cloar Justice | Physical Therapist | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2013-11-12 |
| 1003250473 | Mesa Indiana Ed Associates, LLC | Physician Assistant | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2013-04-29 |
| 1144562620 | Kandace Marie Wall | Nurse Practitioner | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2013-03-21 |
| 1063765865 | Todd Stuart Greene | Physician Assistant | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2012-10-18 |
| 1508114224 | Cara Clark Busler | Physician Assistant | 1792 Alysheba Way, Suite 150, Lexington, KY 40509-2288 | 2012-08-28 |
| 1497017669 | Caitlyn Marie Jervis | Physician Assistant | 1792 Alysheba Way, Lexington, KY 40509-2288 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755354 | Thrive Therapies Pllc | Clinic/Center | 1701 Nicholasville Rd Ste 200, Lexington, KY 40503-1459 | 2020-09-16 |
| 1689135758 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 700 Mason Headley Rd, Lexington, KY 40504-2326 | 2019-03-29 |
| 1083133185 | Osptky LLC | Clinic/Center | 230 W Main St Ste B, Lexington, KY 40507-1340 | 2017-09-11 |
| 1295258440 | Agilitas Usa, Inc | Clinic/Center | 1908 Bryant Rd Ste 150, Lexington, KY 40509-9448 | 2017-07-19 |
| 1952853533 | Roland Dela Cruz | Clinic/Center | 166 Deerwood Dr, Lexington, NC 27295-7544 | 2016-10-28 |
| 1619168879 | In Shape Physical Therapy & Wellness Center LLC | Clinic/Center | 5432a Augusta Rd., Lexington, SC 29072-3892 | 2007-08-05 |
| 1467490110 | Arc Therapy Services LLC | Clinic/Center | 3051 Rio Dosa Dr, Lexington, KY 40509-1545 | 2006-06-03 |
| 1932100971 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 3070 Lake Crest Circle, Suite 700, Lexington, KY 40513 | 2005-08-01 |
| 1568462596 | Kentucky Orthopedic Rehabilitation LLC | Clinic/Center | 4101 Tates Creek Center Drive, Lexington, KY 40517 | 2005-08-01 |
| 1548773666 | Physical Therapy Enterprises | Clinic/Center | 1096 Wellington Way Ste 110, Lexington, KY 40513-1200 | 2017-11-11 |
| Find all providers in LEXINGTON | ||||
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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.