Organization Active NPI

TFC Physical Therapy, PLLC

  • Specialist
  • Bowling Green, KY
National Provider Identifier
1164620316
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TFC PHYSICAL THERAPY, PLLC
Practice address
542 Three Springs Rd
Bowling Green, KY 42104-7589
Phone
(270) 781-1151
Fax
(270) 781-1959
NPI assigned
Jul 10, 2007
Last updated
Dec 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Kelly Glass
Title
Credentialing/Claims Specialist
Phone
(270) 781-1151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

542 Three Springs Rd
Bowling Green, KY 42104-7589

Mailing address

2235 Russellville Rd
Bowling Green, KY 42101-5081
Phone (270) 781-1151

Other identifiers 1

IdentifierTypeStateIssuer
87001129MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070919000055 KY Part B Supplier - Clinic/Group Practice 0244324408 Receives reassigned benefits from 7 practitioners
Practice locations: Bowling Green, KY

National Provider Directory

National Provider Directory

Locations

990 Wilkinson Trce
Ste 1B
Bowling Green, KY 42103
Phone (270) 781-1151

835 S Main St
Franklin, KY 42134
Phone (270) 781-1151

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1164620316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 RUSSELLVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421015081",
            "telephone_number": "270-781-1151",
            "fax_number": "270-781-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 THREE SPRINGS RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421047589",
            "telephone_number": "270-781-1151",
            "fax_number": "270-781-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TFC PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "GLASS",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CREDENTIALING/CLAIMS SPECIALIST",
        "authorized_official_telephone_number": "270-781-1151"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87001129",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.