Individual provider Active NPI

Anne Marie Raispis, P.T.

  • Physical Therapist
  • Crescent Springs, KY
National Provider Identifier
1295880342
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-001655 Issued in KY
Practice address
2083 Lakelyn CT
Crescent Springs, KY 41017-4473
Phone
(859) 803-8890
NPI assigned
Jan 25, 2007
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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 PT4825 OH
Physical Therapist 225100000X PT-001655 KY Primary

Addresses

Primary practice location

2083 Lakelyn CT
Crescent Springs, KY 41017-4473

Mailing address

2083 Lakelyn CT
Crescent Springs, KY 41017-4473
Phone (859) 344-1529

Other practice location 1

1325 E Kemper Rd
suite 100
Springdale, OH 45246-3921
Phone (513) 671-7246

Other practice location 2

40 Utz Dr
Florence, KY 41042-1539
Phone (859) 912-1081

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
PT-001655KYMDPhysical Therapist
PT4825OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Solutions Network Physical Therapist Past Accepting new patients
Sprout Therapy Services PastSince Aug 18, 2019 Accepting new patients
Great Outcomes Physical Therapy LLC Past Accepting new patients

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1295880342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2083 LAKELYN CT",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410174473",
            "telephone_number": "859-344-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2083 LAKELYN CT",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410174473",
            "telephone_number": "859-803-8890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 E Kemper Rd",
            "address_2": "suite 100",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "OH",
            "postal_code": "452463921",
            "country_code": "US",
            "telephone_number": "513-671-7246",
            "fax_number": "513-671-4786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Utz Dr",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410421539",
            "country_code": "US",
            "telephone_number": "859-912-1081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAISPIS",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT4825",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT-001655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent Springs, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.