Physical Therapy Clinic PSC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICAL THERAPY CLINIC PSC

Doing business as

Pike County Physical Therapy Clinic, PSC

Practice address

419 Town Mountain Rd Ste 108
Pikeville, KY 41501-1632

Phone

(606) 432-8782

Fax

(606) 432-8858

NPI assigned

Feb 15, 2006

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela C. Howard, P.T.NPI 1790759710

Title

PT/Ceo

Phone

(606) 432-8782

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PIKE COUNTY PHYSICAL THERAPY CLINIC, PSC Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Physical Therapy Clinic PSC

  dba Pike County Physical Therapy Clinic, PSC

  • Physical Therapy Clinic/Center
  • South Williamson, KY
  • NPI 1942275607

  O20040421001247

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Physical Therapy Clinic PSC

  dba Pike County Physical Therapy Clinic, PSC

  • Physical Therapy Clinic/Center
  • South Williamson, KY
  • NPI 1942275607
  NPPES parent name

Practitioners 4

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.

• John Philip Bentley, PT

  • Physical Therapist
  • Whitesburg, KY
  • NPI 1295720480
  Medicare reassignment NPD
• Julia A Bentley, P.T.

  • Physical Therapist
  • Rogersville, TN
  • NPI 1982699278

  KY

  Medicare reassignment NPD
• Pamela C. Howard, P.T.

  • Physical Therapist
  • Pikeville, KY
  • NPI 1790759710
  Authorized official Same address or phone
• Chad McKinley Thompson, PT

  • Specialist
  • Georgetown, KY
  • NPI 1659312270
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1083688212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 TOWN MOUNTAIN RD STE 108",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011632",
            "telephone_number": "606-432-8782",
            "fax_number": "606-432-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 TOWN MOUNTAIN RD STE 108",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011632",
            "telephone_number": "606-432-8782",
            "fax_number": "606-432-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CLINIC PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PT/CEO",
        "authorized_official_telephone_number": "606-432-8782",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000072916",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIKE COUNTY PHYSICAL THERAPY CLINIC, PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Perry, CRNA
• Nikki Petterson
• Caitlin McKenzie Phillips, RBT
• Phoenix Treatment Centers Outpatient Division, LLC
• Phoenix Treatment Centers, LLC
• Physicians for Children & Adolescents PSC
• Physicians for Children & Adolescents PSC (Physicians For Children)
• Alondra Pichardo
• Pike County Board of Education
• Pike County Health Department

• Physical Therapy Clinic/Center in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Physical Therapy Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.