Individual provider Active NPI

Zachary Alan Blaydes

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1154164309
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009165 Issued in KY
Practice address
3401 Yorkshire Medical Park
Lexington, KY 40509-2513
Phone
(859) 263-5140
Fax
(859) 263-5141
NPI assigned
Jun 17, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X 2023032337 MO
Physical Therapist 225100000X 009165 KY Primary

Addresses

Primary practice location

3401 Yorkshire Medical Park
Lexington, KY 40509-2513

Mailing address

3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140

Other practice location 1

3475 Blazer Pkwy Ste 131
Lexington, KY 40509-1850
Phone (859) 263-5140

Other practice location 2

2045 Lantern Ridge Dr
Richmond, KY 40475-6010
Phone (859) 263-5140

Other practice location 3

1350 Flemingsburg Rd
Morehead, KY 40351-1810
Phone (859) 263-5140

Other practice location 4

195 Commercial Dr
London, KY 40744-8234
Phone (859) 263-5140

Other practice location 5

1760 Harrodsburg Rd
Lexington, KY 40504-3602
Phone (859) 263-5140

Other practice location 6

3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140

Other practice location 7

111 Cynthia Dr Ste 139
Nicholasville, KY 40356-8062
Phone (859) 263-5140

Other practice location 8

145 Newcomb Ave
Mount Vernon, KY 40456-2728
Phone (859) 263-5140

Other practice location 9

1868 Plaudit Pl
Lexington, KY 40509-2429
Phone (859) 263-5140

Other practice location 10

101 Windsor Path
Georgetown, KY 40324-9617
Phone (859) 263-5140

Other practice location 11

850 Hail Knob Rd Ste B
Somerset, KY 42503-3418
Phone (859) 263-5140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241007003902 KY Practitioner - Physical Therapist in Private Practice 6406387000 Reassigns benefits to 1 organization

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
Bluegrass Orthopaedics PSCGroup PAC ID 4789988981, 62 clinicians

Practice addresses (Care Compare)

3401 Yorkshire Medical Park
Lexington, KY 40509-2513
Phone (859) 263-5140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009165KYMDPhysical Therapist
2023032337MOMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Orthopaedics PSC Multi-Specialty CurrentSince Aug 28, 2024 Accepting new patients

Locations

101 Windsor Path
Georgetown, KY 40324
Phone (502) 868-6106

3475 Blazer Pkwy
Ste 131
Lexington, KY 40509
Phone (859) 514-0260

1868 Plaudit Pl
Lexington, KY 40509
Phone (859) 543-0002

3401 Yorkshire Medical Park
Lexington, KY 40509

1760 Harrodsburg Rd
Lexington, KY 40504

3480 Yorkshire Medical Park
Lexington, KY 40509
Phone (859) 303-8803

195 Commercial Dr
London, KY 40744

1350 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 462-8016

145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195

111 Cynthia Dr
Ste 139
Nicholasville, KY 40356

2045 Lantern Ridge Dr
Richmond, KY 40475
Phone (859) 293-6133

850 Hail Knob Rd
#B
Somerset, KY 42503
Phone (270) 318-3399

Organizations & group practices 1

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": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1154164309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3480 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091886",
            "telephone_number": "859-263-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 YORKSHIRE MEDICAL PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092513",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3475 Blazer Pkwy Ste 131",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091850",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2045 Lantern Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "KY",
            "postal_code": "404756010",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Flemingsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Morehead",
            "state": "KY",
            "postal_code": "403511810",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "London",
            "state": "KY",
            "postal_code": "407448234",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 Harrodsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043602",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3480 Yorkshire Medical Park",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091886",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Cynthia Dr Ste 139",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403568062",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Newcomb Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "KY",
            "postal_code": "404562728",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1868 Plaudit Pl",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405092429",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Windsor Path",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "403249617",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Hail Knob Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425033418",
            "country_code": "US",
            "telephone_number": "859-263-5140",
            "fax_number": "859-263-5141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAYDES",
        "first_name": "ZACHARY",
        "middle_name": "ALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": "MO",
            "license": "2023032337",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009165",
            "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 Aug 14, 2024; 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.