Active NPI
Steven R Warren
- Physical Therapist
- Columbia, KY
National Provider Identifier
1083885289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004174
- Practice address
- 901 Westlake Dr
Columbia, KY 42728-1123 - Phone
- (270) 384-4753
- Fax
- (270) 385-9123
- NPI assigned
- Mar 14, 2008
- Sex
- Male
- 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 | 004174 | KY | Primary |
Addresses
Primary practice location
901 Westlake Dr
Columbia, KY 42728-1123
Mailing address
901 Westlake Dr
Columbia, KY 42728-1123
Phone (270) 384-4753
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004174 | Other | KY | LICENSE |
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 |
|---|---|---|---|
| 004174 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1083885289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 WESTLAKE DR",
"city": "COLUMBIA",
"state": "KY",
"postal_code": "427281123",
"telephone_number": "270-384-4753",
"fax_number": "270-385-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 WESTLAKE DR",
"city": "COLUMBIA",
"state": "KY",
"postal_code": "427281123",
"telephone_number": "270-384-4753",
"fax_number": "270-385-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "STEVEN",
"middle_name": "R",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-14",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "004174",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, KY
- Vocals2Go
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0569)
- Wal-Mart Stores, Inc. (Vision Center 30-0569)
- Dakota James Wallace
- Julia Lynette Wallace, TEMPORARY CSW
- Kandace Diane Webster, APRN
- Westlake Home Health
- Westlake Nurse Anesthesia Group
- Westlake Regional Hospital Medical Group
- Lacy Lee Wethington, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.