Active NPI
Gabrielle Kendra Van Scoy, PT, DPT
- Physical Therapist
- Versailles, KY
National Provider Identifier
1275254054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008705
- Practice address
- 374 Kroger Way
Versailles, KY 40383-1915 - Phone
- (859) 286-6848
- NPI assigned
- Sep 8, 2022
- Sex
- Female
- 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 | 008705 | KY | Primary |
Addresses
Primary practice location
374 Kroger Way
Versailles, KY 40383-1915
Mailing address
145 Virginia Ave Apt 209
Lexington, KY 40508-4011
Phone (330) 998-3632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008705 | Other | KY | KY STATE BOARD OF PHYSICAL THERAPY |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008705 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1275254054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 VIRGINIA AVE APT 209",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405084011",
"telephone_number": "330-998-3632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 KROGER WAY",
"city": "VERSAILLES",
"state": "KY",
"postal_code": "403831915",
"telephone_number": "859-286-6848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN SCOY",
"first_name": "GABRIELLE",
"middle_name": "KENDRA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-08",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "008705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY STATE BOARD OF PHYSICAL THERAPY",
"identifier": "008705",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Versailles, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.