Organization Active NPI

Patient Centered Healthcare PLLC

  • Physical Medicine & Rehabilitation Physician
  • Elizabethtown, KY
National Provider Identifier
1154794782
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
48447 Issued in KY
Legal business name
PATIENT CENTERED HEALTHCARE PLLC
Practice address
134 Heartland Dr
Elizabethtown, KY 42701-2778
Phone
(925) 890-5295
NPI assigned
Nov 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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

Authorized official

Name
John Scott Adams, MDNPI 1093004061
Title
Manager
Phone
(925) 890-5295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 48447 KY Primary

Addresses

Primary practice location

134 Heartland Dr
Elizabethtown, KY 42701-2778

Mailing address

1355 Bardstown Rd
225
Louisville, KY 40204-1353
Phone (925) 890-5295

Other identifiers 1

IdentifierTypeStateIssuer
1093004061OtherKYNPI

National Provider Directory

National Provider Directory

Locations

2005 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 360-0008

1355 Bardstown Rd
#225
Louisville, KY 40204

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1154794782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 BARDSTOWN RD",
            "address_2": "225",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041353",
            "telephone_number": "925-890-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HEARTLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012778",
            "telephone_number": "925-890-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CENTERED HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "925-890-5295",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "48447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093004061",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.