Core Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CORE PHYSICAL THERAPY LLC

Practice address

127 Alben Barkley Dr Ste C
Paducah, KY 42001-4402

Phone

(270) 908-0294

Fax

(270) 908-0296

NPI assigned

Nov 29, 2018

Organization subpart

No

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

Authorized official

Name

Jeremy Woodward, DPTNPI 1942462403

Title

Physical Therapist/Owner

Phone

(859) 806-7218

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Dustin Woodward, PT, DPT, MS

  • Physical Therapist
  • Paducah, KY
  • NPI 1942462403
  NPD Authorized official

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1104396449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ALBEN BARKLEY DR STE C",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014402",
            "telephone_number": "270-908-0294",
            "fax_number": "270-908-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 ALBEN BARKLEY DR STE C",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014402",
            "telephone_number": "270-908-0294",
            "fax_number": "270-908-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "859-806-7218",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942462403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPIST LICENSE NUMBER",
            "identifier": "005283",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Cooper, PSS
• Stanley Cooper Jr., D.I.
• Susan Nicole Copass, PHARMD
• Whitney K Cope, AU.D.
• Janet M Copeland, PT
• Amanda Corley, COTA/L
• Corner Homecare
• Corner Homecare Inc
• Cornerstone Caregiving East LLC
• Diana Cortazzo

• Physical Therapy Clinic/Center in Paducah, KY
• Providers in Paducah, 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 Nov 29, 2018; 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.