Eastern Kentucky Physical Therapy, PSC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1908 Issued in KY

Legal business name

EASTERN KENTUCKY PHYSICAL THERAPY, PSC

Practice address

637 N Lake Dr
Prestonsburg, KY 41653-1280

Phone

(606) 889-0838

Fax

(606) 889-0498

NPI assigned

Feb 13, 2013

Organization subpart

No

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

Authorized official

Name

Gwendolyn Hall, PTNPI 1861605263

Title

Physical Therapist

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.

• 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": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1104165968",
    "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",
            "fax_number": "606-889-0498"
        },
        {
            "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": "EASTERN KENTUCKY PHYSICAL THERAPY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "606-889-0838",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": "1908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Dzuback Jr.
• Jessica Eads
• Kennedy Eason
• East Kentucky Rehabilitation Center
• Eastern Kentucky Imaging, PSC
• Eastern Kentucky Tender Care Pediatrics LLC
• Eastern Ky Tender Care Pediatrics, LLC
• Amanda Eddington
• Nancy Edge
• Authur Edwards

• 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 Feb 13, 2013; 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.