Danville Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DANVILLE PHYSICAL THERAPY PLLC

Practice address

474 Whirlaway Dr
Danville, KY 40422

Phone

(859) 238-7650

Fax

(859) 238-4160

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

Glenn J Decker, PHYSICAL THERAPIST

Title

Owner

Phone

(859) 238-7650

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1114985033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 WHIRLAWAY DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "40422",
            "telephone_number": "859-238-7650",
            "fax_number": "859-238-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 WHIRLAWAY DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "40422",
            "telephone_number": "859-238-7650",
            "fax_number": "859-238-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-238-7650",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "00082813181",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000060326",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danville Pediatrics and Primary Care, PLLC
• Danville Pediatrics and Primary Care, PLLC
• Danville Pediatrics Medical Group PLLC
• Danville Pediatrics, PSC
• Danville Peds Dre LLC
• Danville Radiology Associates PSC
• Danville Surgical Associates PLLC
• Danville Therapeutic Massage (Anita Sowder)
• Danville Value Pharmacy
• Danville Value Pharmacy LLC (Good Neighbor Pharmacy)

• Physical Therapy Clinic/Center in Danville, KY
• Providers in Danville, 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 Mar 21, 2012; 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.