Ann Burkhead, PTA
Individual provider Active NPI Physical Therapy Assistant · Prospect, KY
NPI 1114185097 · NPPES record last updated May 28, 2008
Key facts
- NPI
- 1114185097
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A01052 (KY)
- Practice address
- 6301 Bass Rd
Prospect, KY 40059-9384 - Phone
- (502) 228-8359
- NPI assigned
- May 28, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06002334A | IN | MD | Physical Therapy Assistant |
| A01052 | KY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A01052 | KY | Yes |
| Physical Therapy Assistant | 225200000X | 06002334A | IN |
Addresses
Primary practice location
6301 Bass Rd
Prospect, KY 40059-9384
Mailing address
7618 Willow Bend Dr
Crestwood, KY 40014-9671
Phone (502) 384-6280
Other providers in Prospect, KY
- Corrissa D Brown
- Paul S Brown
- Clair Buchanan
- Madison Buckner
- Virginia Ashley Burch
- Lauren Butch
- Paula Carby
- Joseph M Casey
- Tamella Buss Cassis
- Karen Anne Causey
All providers in Prospect, KY · Physical Therapy Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.