Active NPI
Beth Underwood Coon, PT, DPT, CHT
- Physical Therapist
- Versailles, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002242
- 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, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-4579943 | Other | KY | HUMANA |
| 000000540474 | Other | KY | BCBS |
| 611938100 | Other | KY | US DEPT OF LABOR WC |
| 7311873 | 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 |
|---|---|---|---|
| 002242 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osptky LLC | Physical Therapist | Current | 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.
-
dba Versailles Physical Therapy
- Physical Therapist
- Versailles, KY
- NPI 1265485809
-
- Durable Medical Equipment & Medical Supplies
- Louisville, KY
- NPI 1073890695
Physical Therapist
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.