Individual provider Active NPI

Noah Recker, PT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1134812795
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8778 Issued in KY
Practice address
1588 Leestown Rd Ste 120
Lexington, KY 40511-2365
Phone
(859) 317-8086
NPI assigned
May 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8778 KY Primary

Addresses

Primary practice location

1588 Leestown Rd Ste 120
Lexington, KY 40511-2365

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620002910 KY Practitioner - Physical Therapist in Private Practice 9436517612 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians
Benchmark Physical Therapy of Ky LLCGroup PAC ID 0042577579, 55 clinicians

Practice addresses (Care Compare)

1010 Monarch St
Suite 150
Lexington, KY 40513-1892
Phone (859) 219-0211

150 W Lowry LN
Suite 150
Lexington, KY 40503-3030
Phone (859) 421-4416

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

200 Codella Dr
Suite B
Winchester, KY 40391-7117
Phone (859) 745-2152

805 Blankenbaker Pkwy
Suite 107
Louisville, KY 40243-2804
Phone (502) 253-0833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8778KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Oct 10, 2024 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Oct 10, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Oct 10, 2024 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Oct 10, 2024 Accepting new patients
Benchmark Physical Therapy of Ky LLC Physical Therapist CurrentSince May 30, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Oct 10, 2024 Accepting new patients
Agilitas USA Inc Past Accepting new patients

Locations

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

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

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

150 W Lowry Ln
Ste 150
Lexington, KY 40503
Phone (859) 421-4416

805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833

200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152

Organizations & group practices 8

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": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1134812795",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 LEESTOWN RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112365",
            "telephone_number": "859-317-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECKER",
        "first_name": "NOAH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "8778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.