Active NPI
Nathan Paul Reffitt, P.T.
- Physical Therapist
- Owensboro, KY
National Provider Identifier
1265639629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003940
- Practice address
- 2816 Veach Rd
Unit 104 Building 1
Owensboro, KY 42303-6295 - Phone
- (270) 686-3441
- Fax
- (270) 686-3450
- NPI assigned
- Jun 29, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 003940 | KY | Primary |
Addresses
Primary practice location
2816 Veach Rd
Unit 104 Building 1
Owensboro, KY 42303-6295
Mailing address
2235 Russellville Rd
Bowling Green, KY 42101-5081
Phone (270) 781-1151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 532436 | Other | KY | ANTHEM |
| 7920408 | Other | KY | AETNA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003940 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Fitness Connection,PLLC | Past | Accepting new patients | |
| TFC Physical Therapy, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Specialist
- Bowling Green, KY
- NPI 1164620316
-
- Specialist
- Bowling Green, KY
- NPI 1336241538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1265639629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 RUSSELLVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421015081",
"telephone_number": "270-781-1151",
"fax_number": "270-781-1959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2816 VEACH RD",
"address_2": "UNIT 104 BUILDING 1",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423036295",
"telephone_number": "270-686-3441",
"fax_number": "270-686-3450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REFFITT",
"first_name": "NATHAN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "003940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "532436",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7920408",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}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 Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.