Individual provider Active NPI

Beth Underwood Coon, PT, DPT, CHT

  • Physical Therapist
  • Versailles, KY
National Provider Identifier
1285814145
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002242 Issued in KY
Practice address
535 Marsailles Rd
Versailles, KY 40383-1911
Phone
(859) 879-3560
Fax
(859) 879-3564
NPI assigned
Nov 8, 2007
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 002242 KY Primary
Hand Physical Therapist 2251H1200X 002242 KY

Addresses

Primary practice location

535 Marsailles Rd
Versailles, KY 40383-1911

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (502) 882-9379

Other identifiers 4

IdentifierTypeStateIssuer
20-4579943OtherKYHUMANA
000000540474OtherKYBCBS
611938100OtherKYUS DEPT OF LABOR WC
7311873OtherKYAETNA

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

LicenseStateTypeSpecialty
002242KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osptky LLC Physical Therapist CurrentSince Jun 1, 2023 Accepting new patients
Baptist Health Medical Group, Inc. Physical Therapist Past Accepting new patients

Locations

1868 Plaudit Pl
Ste B
Lexington, KY 40509
Phone (859) 264-0512

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

460 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 887-0599

132 Frontier Blvd
Ste 106
Stanford, KY 40484
Phone (606) 257-0005

535 Marsailles Rd
Versailles, KY 40383
Phone (859) 879-3560

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1285814145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "502-882-9379",
            "fax_number": "502-805-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 MARSAILLES RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831911",
            "telephone_number": "859-879-3560",
            "fax_number": "859-879-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON",
        "first_name": "BETH",
        "middle_name": "UNDERWOOD",
        "credential": "PT, DPT, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002242",
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "KY",
            "license": "002242",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "20-4579943",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000540474",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR WC",
            "identifier": "611938100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7311873",
            "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 Apr 24, 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.