Active NPI
Eastern Kentucky Sports and Orthopedic Physical Therapy PSC
- Physical Therapist
- Louisa, KY
National Provider Identifier
1316561210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- EASTERN KENTUCKY SPORTS AND ORTHOPEDIC PHYSICAL THERAPY PSC
- Practice address
- 205 East Main Street
Louisa, KY 41230 - Phone
- (606) 244-5999
- NPI assigned
- Jun 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Morgan Lester, PT, DPT
- Title
- Ceo
- Phone
- (606) 615-1108
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
205 East Main Street
Louisa, KY 41230
Mailing address
2682 Highway 32
Louisa, KY 41230-7572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Louisa, KY
- NPI 1427509744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593475200000",
"number": "1316561210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2682 HIGHWAY 32",
"city": "LOUISA",
"state": "KY",
"postal_code": "412307572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 EAST MAIN STREET",
"city": "LOUISA",
"state": "KY",
"postal_code": "41230",
"telephone_number": "606-244-5999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN KENTUCKY SPORTS AND ORTHOPEDIC PHYSICAL THERAPY PSC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-05",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A",
"authorized_official_last_name": "LESTER",
"authorized_official_first_name": "MORGAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "606-615-1108",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.