George William Loze, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

000953 Issued in KY

Practice address

551 N Highway 27
Whitley City, KY 42653-4083

Phone

(606) 376-8020

Fax

(606) 376-8055

NPI assigned

Oct 5, 2006

Last updated

Aug 24, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lighthouse Physical Therapy, Inc.Group PAC ID 4981790581, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Lighthouse Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Whitley City, KY
  • NPI 1508056961
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1093801003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426530936",
            "telephone_number": "606-376-8020",
            "fax_number": "606-376-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N HIGHWAY 27",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426534083",
            "telephone_number": "606-376-8020",
            "fax_number": "606-376-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZE",
        "first_name": "GEORGE",
        "middle_name": "WILLIAM",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "000953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Cumberland District Heatlh Dept (Whitley City Elementary School)
• Ashok Kumar Lakhiani, MD
• Terry Lawson, APRN
• Lighthouse Physical Therapy, Inc.
• Nicole Shaylyn Link, PHARMD
• Tiffani Maggard
• Maranda Manning
• Charlotte Louise Marlow, LPCC
• Jessica Ann Mason, BCBA, LBA
• McCreary County Judge (McCreary County Ambulance Service)

• Physical Therapist in Whitley City, KY
• Providers in Whitley City, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.