Individual provider Active NPI

Jeffrey Maguet, P.T.

  • Physical Therapist
  • Corbin, KY
National Provider Identifier
1336392893
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002081 Issued in KY
Practice address
702 Phillips LN
Corbin, KY 40701-2144
Phone
(606) 523-2095
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 002081 KY Primary

Addresses

Primary practice location

702 Phillips LN
Corbin, KY 40701-2144

Mailing address

702 Phillips LN
Corbin, KY 40701-2144
Phone (606) 523-2095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502000611 KY Practitioner - Physical Therapist in Private Practice 8426357195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

606 Knox St
Barbourville, KY 40906-1304
Phone (606) 627-9905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002081KYMDPhysical Therapist
2081KYMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Rehabilitation Services, LLC. Physical Therapist CurrentSince Mar 15, 2016 Accepting new patients
Mountain Rehabilitation Services, LLC Physical Therapist Current Accepting new patients

Locations

606 Knox St
Barbourville, KY 40906
Phone (606) 627-9905

850 Riverview Ave
Ste 203
Pineville, KY 40977
Phone (606) 654-4547

121 W Virginia Ave
Ste A22
Pineville, KY 40977

Interoperability endpoints

  • Direct secure messaging: jeffrey.maguet.1@14940.direct.athenahealth.com

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1336392893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 PHILLIPS LN",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012144",
            "telephone_number": "606-523-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 PHILLIPS LN",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407012144",
            "telephone_number": "606-523-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUET",
        "first_name": "JEFFREY",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.