Active NPI
Kaylee Mathis
- Physical Therapist
- Barbourville, KY
National Provider Identifier
1073321394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- TP2024126
- Practice address
- 65 Minton Hickory Farm Rd
Barbourville, KY 40906-8302 - Phone
- (606) 546-5136
- NPI assigned
- Dec 19, 2024
- Sex
- Female
- 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 | TP2024126 | KY | Primary |
Addresses
Primary practice location
65 Minton Hickory Farm Rd
Barbourville, KY 40906-8302
Mailing address
13915 N Highway 421
Manchester, KY 40962-4978
Phone (606) 594-0252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP2024126 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1073321394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13915 N HIGHWAY 421",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409624978",
"telephone_number": "606-594-0252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 MINTON HICKORY FARM RD",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409068302",
"telephone_number": "606-546-5136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "KAYLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "TP2024126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.