Individual provider Active NPI

Leah C Lord, PT

  • Physical Therapist
  • Owensboro, KY
National Provider Identifier
1194920348
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001095 Issued in KY
Practice address
3221 Frederica St
Ste B
Owensboro, KY 42301-6086
Phone
(270) 926-2212
Fax
(270) 926-2215
NPI assigned
Jun 18, 2007
Last updated
Sep 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3772 NC
Physical Therapist 225100000X 001095 KY Primary

Addresses

Primary practice location

3221 Frederica St
Ste B
Owensboro, KY 42301-6086

Mailing address

3221 Frederica St
Ste B
Owensboro, KY 42301-6086
Phone (270) 926-2212

Other identifiers 1

IdentifierTypeStateIssuer
0782MOtherBCBS PIN

Other names 1

  • Charise Lord Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031001976 KY Practitioner - Physical Therapist in Private Practice 4587808837 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001095KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Dec 30, 2020 Accepting new patients
NPI 1851497077 Physical Therapist CurrentSince Dec 30, 2020 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients

Locations

315 E Broadway
Ste 195
Louisville, KY 40202
Phone (502) 589-5961

229 Letton Dr
Paris, KY 40361
Phone (859) 340-1061

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

10015 Main St
Whitesville, KY 42378
Phone (270) 233-1884

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1194920348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 FREDERICA ST",
            "address_2": "STE B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016086",
            "telephone_number": "270-926-2212",
            "fax_number": "270-926-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 FREDERICA ST",
            "address_2": "STE B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423016086",
            "telephone_number": "270-926-2212",
            "fax_number": "270-926-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "LEAH",
        "middle_name": "C",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "3772",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "001095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0782M",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARISE",
            "last_name": "LORD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.