Advanced Functional & Industrial Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ADVANCED FUNCTIONAL & INDUSTRIAL THERAPY LLC

Practice address

637 N Lake Dr
Prestonsburg, KY 41653-1280

Phone

(606) 889-0838

Fax

(606) 889-0498

NPI assigned

Mar 2, 2021

Last updated

Mar 2, 2021By 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

Gwendolyn S Hall, PTNPI 1861605263

Title

Manager

Phone

(606) 889-0838

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Gwendolyn Sue Hall, P.T.

  • Physical Therapist
  • Prestonsburg, KY
  • NPI 1861605263
  NPD Authorized official

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1093300089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531280",
            "telephone_number": "606-889-0838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 N LAKE DR",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416531280",
            "telephone_number": "606-889-0838",
            "fax_number": "606-889-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FUNCTIONAL & INDUSTRIAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "606-889-0838",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Adkins
• Noah Adkins
• Regina Adkins
• Sara Adkins
• Sheila Adkins, NP
• Christina Age
• Danielle Ahadi-Akhlaghi
• Air Evac EMS, Inc. (Air Evac Lifeteam)
• Amy Akers
• Chloe Madison Akers, RBT

• Physical Therapy Clinic/Center in Prestonsburg, KY
• Providers in Prestonsburg, 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 Mar 2, 2021; 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.