Individual provider Active NPI

Kay A Connor-Israel, PT

  • Physical Therapist
  • Springfield, KY
National Provider Identifier
1174554976
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002850 Issued in KY
Practice address
1113 Lincoln Park Rd Ste B
Springfield, KY 40069-9573
Phone
(859) 481-9008
Fax
(859) 481-9004
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical Therapist 2251E1300X
Physical Therapist 225100000X 002850 KY Primary

Addresses

Primary practice location

1113 Lincoln Park Rd Ste B
Springfield, KY 40069-9573

Mailing address

PO Box 265
Springfield, KY 40069-0265
Phone (859) 481-9008

Other practice location 1

1113 Lincoln Park Rd Ste A
Springfield, KY 40069-9573
Phone (859) 481-5830

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130221000039 KY Practitioner - Physical Therapist in Private Practice 9234132713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Physical Therapy LLCGroup PAC ID 0941445852, 6 clinicians
Diagnostic Solutions LLCGroup PAC ID 2163884941, 2 clinicians

Practice addresses (Care Compare)

1113 B Lincoln Park Rd
Springfield, KY 40069-9573
Phone (859) 481-9008

1113 Lincoln Park Rd
Suite a
Springfield, KY 40069-9573
Phone (859) 481-5830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Physical Therapy, LLC Physical Therapist Current Accepting new patients
Central Kentucky Physical Therapy LLC Physical Therapist CurrentSince Jan 21, 2013 Accepting new patients
Diagnostic Solutions LLC Physical Therapist CurrentSince Jan 29, 2019 Accepting new patients
NPI 1790039667 Physical Therapist Past Accepting new patients

Locations

1113B Lincoln Park Rd
Springfield, KY 40069
Phone (859) 481-9008

1113 Lincoln Park Rd
#A
Springfield, KY 40069
Phone (859) 481-5830

1113 Lincoln Park Rd
#B
Springfield, KY 40069
Phone (859) 481-9008

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1174554976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400690265",
            "telephone_number": "859-481-9008",
            "fax_number": "859-481-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 LINCOLN PARK RD STE B",
            "city": "SPRINGFIELD",
            "state": "KY",
            "postal_code": "400699573",
            "telephone_number": "859-481-9008",
            "fax_number": "859-481-9004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 Lincoln Park Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "KY",
            "postal_code": "400699573",
            "country_code": "US",
            "telephone_number": "859-481-5830",
            "fax_number": "859-481-9004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNOR-ISRAEL",
        "first_name": "KAY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.