Waide Physical Therapy PSC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

001533 Issued in KY

Legal business name

WAIDE PHYSICAL THERAPY PSC

Practice address

2228 Anton Rd
Madisonville, KY 42431-7700

Phone

(270) 399-1776

Fax

(270) 440-2007

NPI assigned

Mar 12, 2017

Organization subpart

No

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

Authorized official

Name

Forrest Waide, PT

Title

President / Ceo

Phone

(270) 871-7503

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1489276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489276800000",
    "number": "1295276145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 ANTON RD",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424317700",
            "telephone_number": "270-399-1776",
            "fax_number": "270-440-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 ANTON RD",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424317700",
            "telephone_number": "270-399-1776",
            "fax_number": "270-440-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAIDE PHYSICAL THERAPY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-12",
        "last_updated": "2017-03-12",
        "status": "A",
        "authorized_official_last_name": "WAIDE",
        "authorized_official_first_name": "FORREST",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "270-871-7503",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "001533",
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": "KY",
            "license": "10011030054",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KY",
            "license": "1320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Kay Vespie, ARNP
• Elizabeth Caton Vickery, BC-HIS
• Shaun Vickery, PT, MPT
• Betty Melanie Vincent, DC
• Lesly Jo Vogt
• Forrest L (Ben) Waide, PT, OCS, CHT
• Wal-Mart Stores East, LP
• Ginger Renee Waldron, MSN
• Walgreen Co
• Walgreen Co

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2017; 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.