Active NPI
Timothy Fugate
- Physical Therapist
- Somerset, KY
National Provider Identifier
1255748646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004978
- Practice address
- 2441 S Highway 27
Somerset, KY 42501-2935 - Phone
- (606) 677-4068
- NPI assigned
- Jul 17, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004978 | KY | Primary |
Addresses
Primary practice location
2441 S Highway 27
Somerset, KY 42501-2935
Mailing address
PO Box 3152
West Somerset, KY 42564-3152
Phone (606) 416-3432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1255748646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3152",
"city": "WEST SOMERSET",
"state": "KY",
"postal_code": "425643152",
"telephone_number": "606-416-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 S HIGHWAY 27",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425012935",
"telephone_number": "606-677-4068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUGATE",
"first_name": "TIMOTHY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-17",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.