Tammy Vu Mabry

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

231 Sycamore Rd
Elizabethtown, KY 42701-9595

Phone

(502) 830-9671

NPI assigned

Jun 13, 2019

Reactivated

Aug 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tammy Vu Nguyen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Possibilities Pediatric Therapy

  • Early Intervention Provider Agency
  • Elizabethtown, KY
  • NPI 1841073343
  NPD Authorized official

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1245899111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SYCAMORE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SYCAMORE RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019595",
            "telephone_number": "502-830-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MABRY",
        "first_name": "TAMMY",
        "middle_name": "VU",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "deactivation_date": "2023-07-20",
        "reactivation_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "NGUYEN",
            "middle_name": "VU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa R Lykins, OTA
• Samantha Jo Lyman
• Jackie Renee Lynch
• Dianne Lyvers
• M a Fitzpatrick MD, PLLC
• Stephanie Brooke Mace, CADC
• Carla A Mackey, LMFT
• Charles Kenny Maffet, M.D.
• Mahendra M Patel MD PSC
• Ijaz Mahmood, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.