Jonathan Bennett McNabb, MSPT
Individual provider Active NPI Physical Therapist · Alvaton, KY
NPI 1225034945 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1225034945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 004115 (KY)
- Practice address
- 395 Stone Bluff LN
Alvaton, KY 42122-9721 - Phone
- (270) 791-5972
- NPI assigned
- Jun 27, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Fitness Connection,PLLC | Past |
Accepting new patients | |
| TFC Physical Therapy, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004115 | KY | Yes |
Addresses
Primary practice location
395 Stone Bluff LN
Alvaton, KY 42122-9721
Mailing address
395 Stone Bluff LN
Alvaton, KY 42122-9721
Phone (270) 791-5972
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000532436 | Other | KY | ANTHEM |
| P00363023 | Other | KY | RAILROAD MEDICARE |
| 000000310071 | Other | KY | ANTHEM |
| 7659534 | Other | AETNA | |
| 87001129 | Medicaid | KY |
Other providers in Alvaton, KY
- Rachel L. Holton
- Lori Ann Humbert
- Anthony N. Jackson
- Phillip A Kissinger
- Elizabeth Maynard
- Dennie Morrison Jr.
- Rebecca O'Bryan
- Kousalya Odom
- Alicia Owens
- Edward K Petrusch
All providers in Alvaton, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.