Active NPI
Proof Laboratories, LLC
- Clinical Electrophysiology Physical Therapist
- Lexington, KY
National Provider Identifier
1013687433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Electrophysiology Physical Therapist
- Legal business name
- PROOF LABORATORIES, LLC
- Practice address
- 278 Southland Dr Ste 150
Lexington, KY 40503-1954 - Phone
- (859) 396-3460
- Fax
- (949) 561-5913
- NPI assigned
- Sep 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Braden Plowman, PT, ECS
- Title
- Electrophysiologist
- Phone
- (859) 396-3460
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Clinical Electrophysiology Physical Therapist | 2251E1300X | Primary |
Addresses
Primary practice location
278 Southland Dr Ste 150
Lexington, KY 40503-1954
Mailing address
208 Twin Shores CT
Lexington, KY 40515-6403
Phone (859) 396-3460
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
278 Southland Dr
Ste 150
Lexington, KY 40503
Phone (859) 396-3460
651 Perimeter Dr
Ste 650
Lexington, KY 40517
Phone (859) 277-1447
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Lexington, KY
- NPI 1811269384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631750400000",
"number": "1013687433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 TWIN SHORES CT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405156403",
"telephone_number": "859-396-3460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "278 SOUTHLAND DR STE 150",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405031954",
"telephone_number": "859-396-3460",
"fax_number": "949-561-5913"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROOF LABORATORIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-16",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A",
"authorized_official_last_name": "PLOWMAN",
"authorized_official_first_name": "BRADEN",
"authorized_official_title_or_position": "ELECTROPHYSIOLOGIST",
"authorized_official_telephone_number": "859-396-3460",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, ECS"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251E1300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Electrophysiology, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.