Asbury University

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004930 Issued in KY

Legal business name

ASBURY UNIVERSITY

Practice address

1 Macklem Dr
Wilmore, KY 40390-1152

Phone

(859) 858-3511

NPI assigned

Jul 20, 2016

Last updated

Jul 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Glenn Hamilton

Title

VP for Business Affairs/Treasurer

Phone

(859) 858-3511

Specialties & licenses 1

Addresses

Other names 1

• Asbury University Physical Therapy Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monica Cox Ray, MD

  • Family Medicine Physician
  • Wilmore, KY
  • NPI 1528131646
  NPD (past)
• Catherine Lloyd Beckemeyer Gordon, ATC

  • Athletic Trainer
  • Auburn, AL
  • NPI 1427449180
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1013360544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MACKLEM DR",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MACKLEM DR",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901152",
            "telephone_number": "859-858-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASBURY UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "VP FOR BUSINESS AFFAIRS/TREASURER",
        "authorized_official_telephone_number": "859-858-3511"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asbury University Physical Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mollie E. Aleshire, APRN
• Katelyn E Bailey, LMFT 137123
• Sarah Beeghly
• Mallory M Bitterman
• John Norwood Chapman, MD
• Christopher Alex Clark, LMFT

• Physical Therapist in Wilmore, KY
• Providers in Wilmore, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.