NPIMap

Organization Active NPI

Osptky LLC

  • Physical Therapy Clinic/Center
  • Lexington, KY
National Provider Identifier
1083133185
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OSPTKY LLC
Practice address
230 W Main St Ste B
Lexington, KY 40507-1340
Phone
(859) 303-4312
Fax
(859) 303-4314
NPI assigned
Sep 11, 2017
Last updated
Jan 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Authorized official

Name
Bradley WheeldonNPI 1154370872
Title
Member/Owner
Phone
(502) 426-2221

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

230 W Main St Ste B
Lexington, KY 40507-1340

Mailing address

1868 Plaudit PL Ste B
Lexington, KY 40509-2429
Phone (859) 264-0512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171026001629 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507132107 Receives reassigned benefits from 35 practitioners
Practice locations: Lexington, KY; Louisville, KY; Nicholasville, KY; Richmond, KY; Stanford, KY; Versailles, KY; Danville, KY

National Provider Directory

National Provider Directory

Locations

590 Missouri Ave
Ste 201
Jeffersonville, IN 47130
Phone (812) 920-2220

230 W Main St
Ste B
Lexington, KY 40507
Phone (859) 303-4312

543 Marsailles Rd
Ste 15
Versailles, KY 40383

543 Marsailles Rd
Ste 1516
Versailles, KY 40383
Phone (859) 879-3560

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1083133185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 PLAUDIT PL STE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092429",
            "telephone_number": "859-264-0512",
            "fax_number": "859-264-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W MAIN ST STE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405071340",
            "telephone_number": "859-303-4312",
            "fax_number": "859-303-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSPTKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "WHEELDON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "502-426-2221"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "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 Jan 25, 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.

Verify at the official NPI Registry.