Individual provider Active NPI

Charles Travis Stepp, PT, DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1194237818
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007299 Issued in KY
Practice address
1588 Leestown Rd Ste 120
Lexington, KY 40511-2365
Phone
(859) 317-8086
Fax
(859) 317-8894
NPI assigned
Nov 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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 007299 KY Primary

Addresses

Primary practice location

1588 Leestown Rd Ste 120
Lexington, KY 40511-2365

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8930

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190531002103 KY Practitioner - Physical Therapist in Private Practice 2264765528 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007299KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Ky LLC Physical Therapist CurrentSince Sep 30, 2019 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Jan 9, 2025 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jan 9, 2025 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Jan 9, 2025 Accepting new patients
Agilitas USA, Inc Physical Therapist CurrentSince Jan 9, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Jan 9, 2025 Accepting new patients
Agilitas USA Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

861 Fairview Ave
Ste 102
Bowling Green, KY 42101
Phone (270) 783-8438

1725 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 467-9969

1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086

6661 Dixie Hwy
Ste 8
Louisville, KY 40258
Phone (502) 216-1628

2420 Lime Kiln Ln
Ste C
Louisville, KY 40222
Phone (502) 630-3296

1917 Blankenbaker Pkwy
Louisville, KY 40299
Phone (502) 409-8094

805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833

12418 La Grange Rd
Ste 115
Louisville, KY 40245
Phone (502) 890-6001

1054 Center Dr
Ste 1
Richmond, KY 40475
Phone (859) 625-0600

200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152

Organizations & group practices 8

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1194237818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1588 LEESTOWN RD STE 120",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112365",
            "telephone_number": "859-317-8086",
            "fax_number": "859-317-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPP",
        "first_name": "CHARLES",
        "middle_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.