Active NPI
O'Bryan Physical Therapy
- Physical Therapist
- Paducah, KY
National Provider Identifier
1366386013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- O'BRYAN PHYSICAL THERAPY
- Practice address
- 5120 Village Drive
Ste 103
Paducah, KY 42001 - Phone
- (502) 931-2467
- NPI assigned
- Apr 15, 2026
- 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
- Renee O'Bryan, PT
- Title
- Owner
- Phone
- (502) 931-2467
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
5120 Village Drive
Ste 103
Paducah, KY 42001
Mailing address
5120 Village Drive
Ste 103
Paducah, KY 42001
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781481600000",
"number": "1366386013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5120 VILLAGE DRIVE",
"address_2": "STE 103",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5120 VILLAGE DRIVE",
"address_2": "STE 103",
"city": "PADUCAH",
"state": "KY",
"postal_code": "42001",
"telephone_number": "502-931-2467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O'BRYAN PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A",
"authorized_official_last_name": "O'BRYAN",
"authorized_official_first_name": "RENEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "502-931-2467",
"authorized_official_credential": "PT"
},
"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 Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.