Individual provider Active NPI

Mark Pugeda, DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1033535158
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 003295 Issued in WV
Practice address
150 W Lowry LN Ste 150
Lexington, KY 40503-3030
Phone
(859) 421-4416
NPI assigned
Mar 13, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP044192T NC
Physical Therapist 225100000X CP059135T GA
Physical Therapist 225100000X PT 003295 WV Primary
Physical Therapist 225100000X 14042 TN
Physical Therapist 225100000X CP059103T AL
Physical Therapist 225100000X CP059034T PA

Addresses

Primary practice location

150 W Lowry LN Ste 150
Lexington, KY 40503-3030

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 497-0005

Other practice location 1

420 Craigsville Rd.
Craigsville, WV 26205
Phone (304) 742-3890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220118002694 KY Practitioner - Physical Therapist in Private Practice 2769874056 Reassigns benefits to 4 organizations
I20240326001585 TN Practitioner - Physical Therapist in Private Practice 2769874056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 Corporate Dr
Suite 400
Hoover, AL 35242-2902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
Benchmark Physical Therapy of Ky LLC Physical Therapist CurrentSince Dec 20, 2021 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jan 16, 2023 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Fayetteville Physical Therapy & Sports Rehabilitation Past Accepting new patients
Agilitas USA Inc Past Accepting new patients
Foundation Health Systems LLC Physical Therapist Past Accepting new patients

Locations

22083 US Highway 72
Athens, AL 35613
Phone (258) 216-1040

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1725 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 467-9969

280 Mount Zion Rd
Ste B
Florence, KY 41042
Phone (859) 817-0615

7800 John Davis Dr
Ste 460
Frankfort, KY 40601
Phone (502) 699-2734

3065 N Bend Rd
Ste C
Hebron, KY 41048
Phone (859) 267-2293

150 W Lowry Ln
Ste 150
Lexington, KY 40503
Phone (859) 421-4416

1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086

2160 Sir Barton Way
Ste 146
Lexington, KY 40509
Phone (859) 300-0440

3099 Breckenridge Ln
Ste 107
Louisville, KY 40220
Phone (502) 963-5229

2420 Lime Kiln Ln
Ste C
Louisville, KY 40222
Phone (502) 630-3296

3129 S 2nd St
Louisville, KY 40208
Phone (502) 690-2458

5524 New Cut Rd
#B
Louisville, KY 40214
Phone (502) 290-4783

1917 Blankenbaker Pkwy
Louisville, KY 40299
Phone (502) 409-8094

805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833

12418 La Grange Rd
Ste 115
Louisville, KY 40245
Phone (502) 890-6001

3000 Alvey Park Dr W
Ste C
Owensboro, KY 42303
Phone (270) 240-4694

3800 Frederica St
Ste 1A
Owensboro, KY 42301
Phone (270) 495-4332

544 Conestoga Pkwy
Ste 36
Shepherdsville, KY 40165
Phone (502) 257-7049

9039 US Highway 42
Ste G
Union, KY 41091
Phone (859) 384-0367

200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

222 22nd Ave N
Ste 100
Nashville, TN 37203
Phone (615) 284-2222

2600 Taft Hwy
Ste 400
Signal Mountain, TN 37377
Phone (423) 886-6979

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1033535158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-497-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W LOWRY LN STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033030",
            "telephone_number": "859-421-4416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Craigsville Rd.",
            "address_purpose": "LOCATION",
            "city": "Craigsville",
            "state": "WV",
            "postal_code": "26205",
            "country_code": "US",
            "telephone_number": "304-742-3890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PUGEDA",
        "first_name": "MARK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP044192T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP059135T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "PT 003295",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14042",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "CP059103T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "CP059034T",
            "primary": false
        }
    ],
    "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 Jul 7, 2026; 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.