Anthony Shawn Prater, M.S., P.T.

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

003758 Issued in KY

Practice address

710 E. Main St.
Lexington, KY 40502

Phone

(859) 629-6106

Fax

(859) 422-6712

NPI assigned

Sep 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Empowerme Rehabilitation Kentucky, LLC

  • Multi-Specialty Clinic/Center
  • Lexington, KY
  • NPI 1275166696
  Medicare reassignment NPD
• Empowerme Rehabilitation Kentucky, LLC

  • Rehabilitation Clinic/Center
  • Florence, KY
  • NPI 1669195640
  NPD

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1336667690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E. MAIN ST.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-629-6106",
            "fax_number": "859-422-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E. MAIN ST.",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40502",
            "telephone_number": "859-629-6106",
            "fax_number": "859-422-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "ANTHONY",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "M.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "KY",
            "license": "003758",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "KY",
            "license": "003758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Clair Poynter, PA-C
• Melissa Jill Poynter, APRN
• PPBH LLC
• Ashwin Basrur Prabhu, M.D.
• Soumil Prasad, MD
• Courtney Taylor Prater
• Perdita Lee Prater, APRN
• Reeca L Prater, L.P.N., L.M.T.
• Allison Whitaker Prather, OTR/L
• Megan Brianna Prather

• Pediatric Physical Therapist in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatric Physical Therapist in Kentucky

• 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.