Organization Active NPI

Prostep

  • Skilled Nursing Facility
  • Elsmere, KY
National Provider Identifier
1164754206
Registry record updated Jan 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
003723 Issued in KY
Legal business name
PROSTEP
Practice address
3876 Turkeyfoot Rd
Elsmere, KY 41018-2838
Phone
(859) 342-8775
NPI assigned
Jan 30, 2010
Last updated
Jan 30, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
EXTENDICAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2010

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

Authorized official

Name
Dr. Todd Brockman
Title
Physical Therapist
Phone
(859) 342-8775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 003723 KY Primary

Addresses

Primary practice location

3876 Turkeyfoot Rd
Elsmere, KY 41018-2838

Mailing address

3876 Turkeyfoot Rd
Elsmere, KY 41018-2838

National Provider Directory

National Provider Directory
Part of
Woodcrest Manor LLC

NPI Registry JSON

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

{
    "created_epoch": "1264809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264809600000",
    "number": "1164754206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3876 TURKEYFOOT RD",
            "city": "ELSMERE",
            "state": "KY",
            "postal_code": "410182838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3876 TURKEYFOOT RD",
            "city": "ELSMERE",
            "state": "KY",
            "postal_code": "410182838",
            "telephone_number": "859-342-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTEP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXTENDICARE",
        "enumeration_date": "2010-01-30",
        "last_updated": "2010-01-30",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "859-342-8775",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "003723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elsmere, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2010; 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.