Individual provider Active NPI

Ryan Smith, DPT

  • Physical Therapist
  • Nicholasville, KY
National Provider Identifier
1174258925
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008533 Issued in KY
Practice address
169 E Brannon Rd
Nicholasville, KY 40356-8060
Phone
(859) 245-4000
NPI assigned
Jul 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 008533 KY Primary

Addresses

Primary practice location

169 E Brannon Rd
Nicholasville, KY 40356-8060

Mailing address

3751 Appian Way Apt 146
Lexington, KY 40517-5930
Phone (419) 989-1021

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rytsmith@kort.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230118001923 KY Practitioner - Physical Therapist in Private Practice 2668843269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation LLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Jan 1, 2023 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC PastSince Jan 1, 2023 Accepting new patients

Locations

930 Jamestown St
Columbia, KY 42728
Phone (270) 751-8730

732 Vine St
Murray, KY 42071
Phone (270) 753-6477

174B Bellerive Blvd
Nicholasville, KY 40356
Phone (859) 724-6764

169 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 224-5400

235 Boggs Ln
Ste 9
Richmond, KY 40475
Phone (859) 972-8630

Organizations & group practices 4

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": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1174258925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 APPIAN WAY APT 146",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405175930",
            "telephone_number": "419-989-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 E BRANNON RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568060",
            "telephone_number": "859-245-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-17",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rytsmith@kort.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "169 E Brannon Rd",
            "city": "Nicholasville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403568060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.