NPIMap

Organization Active NPI

Osptky LLC

Doing business as Orthopedic & Sports PT of Madison Co

  • Physical Therapy Clinic/Center
  • Richmond, KY
National Provider Identifier
1356834154
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OSPTKY LLC
Doing business as
Orthopedic & Sports PT of Madison Co
Practice address
171 N Keeneland Dr
Richmond, KY 40475-8687
Phone
(859) 575-1888
Fax
(859) 575-4121
NPI assigned
Jun 7, 2018
Last updated
Jun 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Authorized official

Name
Bradley S WheeldonNPI 1154370872
Title
Managing Member/Owner
Phone
(502) 426-2221

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)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

171 N Keeneland Dr
Richmond, KY 40475-8687

Mailing address

1868 Plaudit PL Ste B
Lexington, KY 40509-2429
Phone (859) 264-0512

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidKY

Other names 1

  • Orthopedic & Sports PT of Madison Co Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Osptky LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

171 N Keeneland Dr
Richmond, KY 40475
Phone (859) 575-1888

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528329600000",
    "number": "1356834154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 PLAUDIT PL STE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092429",
            "telephone_number": "859-264-0512",
            "fax_number": "859-264-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N KEENELAND DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758687",
            "telephone_number": "859-575-1888",
            "fax_number": "859-575-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSPTKY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-06-07",
        "status": "A",
        "authorized_official_last_name": "WHEELDON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "502-426-2221"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic & Sports PT of Madison Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; 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.