Active NPI
Ian Craig Danis, DPT
- Physical Therapist
- Elizabethtown, KY
National Provider Identifier
1023536372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007263
- Practice address
- 4031 N Dixie Hwy Ste 104
Elizabethtown, KY 42701 - Phone
- (270) 982-4776
- Fax
- (270) 982-4778
- NPI assigned
- Sep 7, 2017
- 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 | 007263 | KY | Primary |
Addresses
Primary practice location
4031 N Dixie Hwy Ste 104
Elizabethtown, KY 42701
Mailing address
383 Corbin Center Dr
Corbin, KY 40701-1895
Phone (606) 526-2913
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100493930 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Pros, Inc. | Physical Therapist | Current | Accepting new patients |
| PT Pros, Inc. | Physical Therapist | Current | Accepting new patients |
| PT Pros, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
383 Corbin Center Dr
Corbin, KY 40701
Phone (606) 526-2909
4031 N Dixie Hwy
Ste 104
Elizabethtown, KY 42701
Phone (270) 982-4776
201 S Main St
Leitchfield, KY 42754
Phone (270) 230-1729
Organizations & group practices 3
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.
-
- Physical Therapist
- Elizabethtown, KY
- NPI 1376088799
-
- Physical Therapist
- Leitchfield, KY
- NPI 1669965802
-
- Physical Therapist
- Lafayette, LA
- NPI 1164153839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1023536372",
"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": "606-526-2913",
"fax_number": "606-526-2901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4031 N DIXIE HWY STE 104",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "42701",
"telephone_number": "270-982-4776",
"fax_number": "270-982-4778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIS",
"first_name": "IAN",
"middle_name": "CRAIG",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-07",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100493930",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2018; 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.