Individual provider Active NPI

David D Escobar, P.T.

  • Physical Therapist
  • Somerset, KY
National Provider Identifier
1013003029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002008 Issued in KY
Practice address
117 Tradepark Dr
Somerset, KY 42503-3428
Phone
(606) 678-5708
Fax
(606) 678-4336
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 002008 KY Primary

Addresses

Primary practice location

117 Tradepark Dr
Somerset, KY 42503-3428

Mailing address

117 Tradepark Dr
Somerset, KY 42503-3428
Phone (606) 678-5708

Other identifiers 4

IdentifierTypeStateIssuer
1174914OtherKYCHA PROVIDER #
650019563OtherKYRR MEDICARE #
000000179369OtherKYBLUE CROSS BLUE SHIELD
87020087MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071030000525 KY Practitioner - Physical Therapist in Private Practice 8426154113 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluegrass Orthopaedics PSCGroup PAC ID 4789988981, 62 clinicians

Practice addresses (Care Compare)

3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002008KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Orthopaedics PSC Physical Therapist CurrentSince Jun 3, 2019 Accepting new patients
Blue Grass Physiotherapy, PLLC Physical Therapist PastSince Jan 1, 2007 Accepting new patients

Locations

101 Windsor Path
Georgetown, KY 40324
Phone (502) 868-6106

3401 Yorkshire Medical Park
Lexington, KY 40509

1760 Harrodsburg Rd
Lexington, KY 40504

3480 Yorkshire Medical Park
Lexington, KY 40509
Phone (859) 303-8803

1350 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 462-8016

111 Cynthia Dr
Ste 139
Nicholasville, KY 40356

2045 Lantern Ridge Dr
Richmond, KY 40475
Phone (859) 293-6133

850 Hail Knob Rd
#B
Somerset, KY 42503
Phone (270) 318-3399

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013003029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 TRADEPARK DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033428",
            "telephone_number": "606-678-5708",
            "fax_number": "606-678-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 TRADEPARK DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033428",
            "telephone_number": "606-678-5708",
            "fax_number": "606-678-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "DAVID",
        "middle_name": "D",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA PROVIDER #",
            "identifier": "1174914",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE #",
            "identifier": "650019563",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000179369",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87020087",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.