Individual provider Active NPI

John Lee Louthan III

  • Physical Therapy Assistant
  • Lexington, KY
National Provider Identifier
1295665289
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A03209 Issued in KY
Practice address
4275 Athens Boonesboro Rd
Lexington, KY 40509-8534
Phone
(859) 230-8002
NPI assigned
May 21, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X A03209 KY Primary

Addresses

Primary practice location

4275 Athens Boonesboro Rd
Lexington, KY 40509-8534

Mailing address

4275 Athens Boonesboro Rd
Lexington, KY 40509-8534
Phone (859) 230-8002

Other practice location 1

633 Chamberlin Ave
Frankfort, KY 40601-4220
Phone (859) 230-8002

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

LicenseStateTypeSpecialty
A03209KYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1295665289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 ATHENS BOONESBORO RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098534",
            "telephone_number": "859-230-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 ATHENS BOONESBORO RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098534",
            "telephone_number": "859-230-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "633 Chamberlin Ave",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406014220",
            "country_code": "US",
            "telephone_number": "859-230-8002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUTHAN",
        "first_name": "JOHN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A03209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.