Physical Therapy Associates Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002884 Issued in KY

Legal business name

PHYSICAL THERAPY ASSOCIATES INC

Practice address

4331 Churchman Ave
Louisville, KY 40215-1164

Phone

(502) 366-1773

NPI assigned

May 17, 2007

Last updated

Jan 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bradley Gordon Coffman

Title

Executive Director

Phone

(270) 360-9129

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Physical Therapy Associates Inc

  • Physical Therapist
  • Hodgenville, KY
  • NPI 1366658106

  O20031215000469

  Same enrollment
• Physical Therapy Associates Inc

  • Physical Therapist
  • Brandenburg, KY
  • NPI 1487001384

  O20031215000469

  Same enrollment
• Physical Therapy Associates Inc

  • Physical Therapist
  • Mt Washington, KY
  • NPI 1902770530

  O20031215000469

  Same enrollment
• Physical Therapy Associates, Inc

  • Physical Therapist
  • Elizabethtown, KY
  • NPI 1336246412

  O20031215000469

  Same enrollment
• Physical Therapy Associates, Inc

  • Physical Therapist
  • Radcliff, KY
  • NPI 1992911960

  O20031215000469

  Same enrollment
• Physical Therapy Associates, Inc.

  • Physical Therapist
  • Bardstown, KY
  • NPI 1912157520

  O20031215000469

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Ann Vessels, PT

  • Physical Therapist
  • Elizabethtown, KY
  • NPI 1275884637
  NPD
• Casey Adrian Whelan, PT

  • Physical Therapist
  • Elizabethtown, KY
  • NPI 1285007351
  NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1194932459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N MILES ST",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011834",
            "telephone_number": "270-360-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4331 CHURCHMAN AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151164",
            "telephone_number": "502-366-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "COFFMAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "270-360-9129",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Sobriety
• Phyllis Atzinger
• Physical Acuity Rehabilitation, LLC
• Physical Rehab Associates, PLLC
• Physical Therapy Alliance, LLC (Star Physical Therapy)
• Physical Therapy Group, Inc
• Physical Therapy Specialists of Louisville, Inc.
• Physician Services Group
• Physicians Billings Diagnostics (Lowerys Group)
• Physicians Health Group of Kentucky, PLLC

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.