Active NPI
Nikolus McKinley Blair, DPT
- Physical Therapist
- London, KY
National Provider Identifier
1013318013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- T14017
- Practice address
- 1690 Highway 192 W
London, KY 40741-1673 - Phone
- (606) 877-3231
- Fax
- (606) 877-3632
- NPI assigned
- Sep 9, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | T14017 | KY | Primary |
Addresses
Primary practice location
1690 Highway 192 W
London, KY 40741-1673
Mailing address
383 Corbin Center Dr
Corbin, KY 40701-1895
Phone (606) 528-2909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T14017 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410220800000",
"number": "1013318013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "383 CORBIN CENTER DR",
"city": "CORBIN",
"state": "KY",
"postal_code": "407011895",
"telephone_number": "606-528-2909",
"fax_number": "606-526-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1690 HIGHWAY 192 W",
"city": "LONDON",
"state": "KY",
"postal_code": "407411673",
"telephone_number": "606-877-3231",
"fax_number": "606-877-3632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAIR",
"first_name": "NIKOLUS",
"middle_name": "MCKINLEY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-09",
"last_updated": "2014-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "T14017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.