Erica Vincent

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007185 Issued in KY

Practice address

5079 Smiths Grove Scottsville Rd
Smiths Grove, KY 42171-9409

Phone

(270) 202-1626

NPI assigned

Apr 23, 2019

Last updated

Jan 29, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nulife Physical Therapy IncGroup PAC ID 6608187497, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nulife Physical Therapy Inc.

  dba NuLife Physical Therapy

  • Physical Therapy Clinic/Center
  • Portland, TN
  • NPI 1013302777

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• D&E Vincent LLC

  • Early Intervention Provider Agency
  • Smiths Grove, KY
  • NPI 1144033200
  NPD Authorized official

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1023672292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5079 SMITHS GROVE SCOTTSVILLE RD",
            "city": "SMITHS GROVE",
            "state": "KY",
            "postal_code": "421719409",
            "telephone_number": "270-202-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5079 SMITHS GROVE SCOTTSVILLE RD",
            "city": "SMITHS GROVE",
            "state": "KY",
            "postal_code": "421719409",
            "telephone_number": "270-202-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Emily Schafer, DPT
• Nikolaus Secula
• Smiths Grove Family Dentistry
• Smiths Grove Physical Therapy
• Stellar Health Care Associates Inc.,
• Gary Phillip Walden, D.M.D.

• Physical Therapist in Smiths Grove, KY
• Providers in Smiths Grove, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.