Dustin Ryan Patton, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005234 Issued in KY

Practice address

2415 Lime Kiln LN Ste B
Louisville, KY 40222-3429

Phone

(502) 493-6979

Fax

(907) 917-2834

NPI assigned

Apr 21, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Performance Therapy LLCGroup PAC ID 1456691146, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Summit Performance Therapy, LLC.

  • Physical Therapist
  • Louisville, KY
  • NPI 1598222986
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1275777369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 LIME KILN LN STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223429",
            "telephone_number": "502-493-6979",
            "fax_number": "907-917-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 LIME KILN LN STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223429",
            "telephone_number": "502-493-6979",
            "fax_number": "907-917-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "DUSTIN",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-21",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Patton
• Brianna Patton, LCSW
• Cade Evan Patton
• Crystal A Patton, COTA/L
• Denica Patton
• Hannah Patton
• Leslye Patton
• Natalie Patton
• Shayla Patton
• Steven Patton, D.O

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.