Individual provider Active NPI

Justin Timothy Sargent, PT DPT

  • Physical Therapist
  • Louisa, KY
National Provider Identifier
1316464282
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007155 Issued in KY
Practice address
172 Town Hill Rd
Louisa, KY 41230-6389
Phone
(606) 324-0540
Fax
(606) 324-0616
NPI assigned
Aug 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 007155 KY Primary

Addresses

Primary practice location

172 Town Hill Rd
Louisa, KY 41230-6389

Mailing address

2700 Greenup Ave
Ashland, KY 41101-1953
Phone (606) 324-0540

Other practice location 1

2700 Greenup Ave
Ashland, KY 41101-1953
Phone (606) 324-0540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329003405 KY Practitioner - Physical Therapist in Private Practice 4183987118 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
JC Edwards School of Medicine, Marshall University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PhilanthroptGroup PAC ID 7113340043, 6 clinicians

Practice addresses (Care Compare)

107 Frazier CT
Suite 2C
Georgetown, KY 40324-9026
Phone (502) 735-1782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007155KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Ky LLC Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
Philanthropt Physical Therapist CurrentSince Aug 29, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

106 Osborne Way
Georgetown, KY 40324
Phone (502) 642-4228

107 Frazier Ct
Ste 2C
Georgetown, KY 40324
Phone (502) 735-1782

106 Osborne Way
Ste 106
Georgetown, KY 40324
Phone (502) 642-4228

1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316464282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 GREENUP AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411011953",
            "telephone_number": "606-324-0540",
            "fax_number": "606-324-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 TOWN HILL RD",
            "city": "LOUISA",
            "state": "KY",
            "postal_code": "412306389",
            "telephone_number": "606-324-0540",
            "fax_number": "606-324-0616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Greenup Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411011953",
            "country_code": "US",
            "telephone_number": "606-324-0540",
            "fax_number": "606-324-0616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARGENT",
        "first_name": "JUSTIN",
        "middle_name": "TIMOTHY",
        "credential": "PT DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisa, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.