Louie Dennis Pitcock Jr., M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004220 Issued in KY

Practice address

2235 Russellville Rd
Bowling Green, KY 42101-5024

Phone

(270) 781-1151

Fax

(270) 781-5990

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• TFC Physical Therapy, PLLC

  • Specialist
  • Bowling Green, KY
  • NPI 1164620316
  NPD (past)
• Total Fitness Connection,PLLC

  • Specialist
  • Bowling Green, KY
  • NPI 1336241538
  NPD (past)

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1184620098",
    "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": "421015024",
            "telephone_number": "270-781-1151",
            "fax_number": "270-781-5990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 RUSSELLVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421015024",
            "telephone_number": "270-781-1151",
            "fax_number": "270-781-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITCOCK",
        "first_name": "LOUIE",
        "middle_name": "DENNIS",
        "name_suffix": "Jr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87000964",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7317410",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000244257",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pink Ribbon Boutique, Inc
• Bonnie Pinkerton, BHS
• Liberty Pinon, RBT
• Christopher David Pitcock, DMD
• Emily Dawn Pitcock, MED
• Plano Transportation LLC
• Stacie Marie Poe, PHARM. D.
• Marsha Nan Poland Cooper
• Shelby Poland
• Jenna Cross Polk, RD, LD

• Physical Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.