Active NPI
David D Escobar, P.T.
- Physical Therapist
- Somerset, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002008
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174914 | Other | KY | CHA PROVIDER # |
| 650019563 | Other | KY | RR MEDICARE # |
| 000000179369 | Other | KY | BLUE CROSS BLUE SHIELD |
| 87020087 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 002008 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Orthopaedics PSC | Physical Therapist | Current | Accepting new patients |
| Blue Grass Physiotherapy, PLLC | Physical Therapist | Past | 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.
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1447622394
Physical Therapist
-
- Physical Therapist
- Somerset, KY
- NPI 1679669600
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.