Organization Active NPI

Buffalo Run Physical Therapy, PLLC

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1083765382
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BUFFALO RUN PHYSICAL THERAPY, PLLC
Practice address
3191 Beaumont Centre Cir
Lexington, KY 40513-1845
Phone
(859) 223-0101
Fax
(859) 277-0760
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kris Alan Forbes, P.T.NPI 1275684573
Title
President
Phone
(879) 745-6277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3191 Beaumont Centre Cir
Lexington, KY 40513-1845

Mailing address

PO Box 695
Frankfort, KY 40602-0695
Phone (502) 226-3858

Other identifiers 3

IdentifierTypeStateIssuer
1189025OtherKYCHA
000000368088OtherKYANTHEM BLUE CROSS
7019684OtherKYAETNA

National Provider Directory

National Provider Directory

Locations

3191 Beaumont Centre Cir
Ste 130
Lexington, KY 40513
Phone (859) 223-0101

3191 Beaumont Centre Cir
Lexington, KY 40513
Phone (859) 223-0101

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083765382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 695",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406020695",
            "telephone_number": "502-226-3858",
            "fax_number": "502-223-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 BEAUMONT CENTRE CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131845",
            "telephone_number": "859-223-0101",
            "fax_number": "859-277-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO RUN PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "879-745-6277",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1189025",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000368088",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7019684",
            "state": "KY"
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.