Individual provider Active NPI

Deric D Parrish, PT, DPT

  • Physical Therapist
  • Elizabethtown, KY
National Provider Identifier
1083986954
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005999 Issued in KY
Practice address
2618 Ring Rd Ste 110
Elizabethtown, KY 42701-7116
Phone
(270) 766-1213
NPI assigned
Feb 7, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005999 KY Primary

Addresses

Primary practice location

2618 Ring Rd Ste 110
Elizabethtown, KY 42701-7116

Mailing address

2618 Ring Rd Ste 110
Elizabethtown, KY 42701-7116
Phone (270) 766-1213

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190214002884 KY Practitioner - Physical Therapist in Private Practice 6406141183 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians
Kentucky Orthopedic Rehabilitation LLCGroup PAC ID 0345157293, 68 clinicians

Practice addresses (Care Compare)

210 E Gray St
Suite 807
Louisville, KY 40202-3927
Phone (502) 587-9350

732 Vine St
Murray, KY 42071-2630
Phone (270) 753-6477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
NPI 1790039667 Physical Therapist Past Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Past Accepting new patients

Locations

708 Westport Rd
Ste 202
Elizabethtown, KY 42701
Phone (270) 765-4263

2618 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 230-1729

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1083986954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 RING RD STE 110",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017116",
            "telephone_number": "270-766-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 RING RD STE 110",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017116",
            "telephone_number": "270-766-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "DERIC",
        "middle_name": "D",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.