Individual provider Active NPI

Wesley Lawless, DPT

  • Physical Therapist
  • Bowling Green, KY
National Provider Identifier
1104431972
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP043939T Issued in TN
Practice address
1861 Westen St Ste B
Bowling Green, KY 42104-4151
Phone
(270) 904-2753
Fax
(270) 904-4680
NPI assigned
Sep 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP058135T IN
Physical Therapist 225100000X 008017 KY
Physical Therapist 225100000X CP043939T TN Primary

Addresses

Primary practice location

1861 Westen St Ste B
Bowling Green, KY 42104-4151

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

6240 E Virginia St Ste E
Evansville, IN 47715-9126
Phone (812) 909-9171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200916003017 KY Practitioner - Physical Therapist in Private Practice 2466870845 Reassigns benefits to 2 organizations
I20231024000699 TN Practitioner - Physical Therapist in Private Practice 2466870845 Reassigns benefits to 1 organization
I20260604003486 IN Practitioner - Physical Therapist in Private Practice 2466870845 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benchmark Physical Therapy of Ky LLCGroup PAC ID 0042577579, 55 clinicians
Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

Practice addresses (Care Compare)

1588 Leestown Rd
Suite 120
Lexington, KY 40511-2365
Phone (859) 317-8086

1861 Westen St
Suite B
Bowling Green, KY 42104-4151
Phone (270) 904-2753

3800 Frederica St
Suite 1a
Owensboro, KY 42301-6970
Phone (270) 745-9555

642 Hwy 76
White House, TN 37188-9205
Phone (615) 672-4966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP058135TINMDPhysical Therapist
008017KYMDPhysical Therapist
CP043939TTNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy Indiana LLC Physical Therapist CurrentSince May 29, 2026 Accepting new patients
Impact Physical Therapy, PLLC Current Accepting new patients
Benchmark Physical Therapy of Ky LLC Physical Therapist CurrentSince Sep 12, 2020 Accepting new patients
Benchmark Physical Therapy Indiana LLC Physical Therapist CurrentSince May 29, 2026 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Nov 20, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

6240 E Virginia St
Ste E
Evansville, IN 47715
Phone (812) 909-9171

1861 Westen St
#B
Bowling Green, KY 42104
Phone (270) 781-8167

861 Fairview Ave
Ste 102
Bowling Green, KY 42101
Phone (270) 783-8438

1725 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 467-9969

280 Mount Zion Rd
Ste B
Florence, KY 41042
Phone (859) 817-0615

7800 John Davis Dr
Ste 460
Frankfort, KY 40601
Phone (502) 699-2734

1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086

2420 Lime Kiln Ln
Ste C
Louisville, KY 40222
Phone (502) 630-3296

12418 La Grange Rd
Ste 115
Louisville, KY 40245
Phone (502) 890-6001

3129 S 2nd St
Louisville, KY 40208
Phone (502) 690-2458

3099 Breckenridge Ln
Ste 107
Louisville, KY 40220
Phone (502) 963-5229

1917 Blankenbaker Pkwy
Louisville, KY 40299
Phone (502) 409-8094

9039 US Highway 42
Ste G
Union, KY 41091
Phone (859) 384-0367

642 Highway 76
White House, TN 37188
Phone (615) 672-4966

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

Organizations & group practices 7

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1104431972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 WESTEN ST STE B",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044151",
            "telephone_number": "270-904-2753",
            "fax_number": "270-904-4680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6240 E Virginia St Ste E",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477159126",
            "country_code": "US",
            "telephone_number": "812-909-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWLESS",
        "first_name": "WESLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-09",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "CP058135T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008017",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "CP043939T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.