Organization Active NPI

Proof Laboratories, LLC

  • Clinical Electrophysiology Physical Therapist
  • Lexington, KY
National Provider Identifier
1013687433
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
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

Updated by the provider on Sep 16, 2021

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

Authorized official

Name
Dr. Braden Plowman, PT, ECSNPI 1811269384
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Clinical Electrophysiology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20220126003034 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4082006952 Receives reassigned benefits from 2 practitioners
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.