Active NPI
Physical Medicine Services, Inc.
- Specialist
- Murray, KY
National Provider Identifier
1366442105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- KY001536
- Legal business name
- PHYSICAL MEDICINE SERVICES, INC.
- Practice address
- 732 Vine St
Murray, KY 42071-2630 - Phone
- (270) 753-6477
- Fax
- (270) 753-6478
- NPI assigned
- Jul 22, 2005
- 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
- Mr. Scott Robert Winkler, PT, DPT
- Title
- Owner/Provider
- Phone
- (270) 753-6477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | KY001536 | KY | Primary |
Addresses
Primary practice location
732 Vine St
Murray, KY 42071-2630
Mailing address
732 Vine St
Murray, KY 42071-2630
Phone (270) 753-6477
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000059678 | Other | KY | ANTHEM BCBS/GROUP |
| 8700036000 | Medicaid | KY | |
| C10478 | Other | KY | RAILROAD MEDICARE |
| 000000049118 | Other | KY | ANTHEM BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288224000000",
"number": "1366442105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 VINE ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712630",
"telephone_number": "270-753-6477",
"fax_number": "270-753-6478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 VINE ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712630",
"telephone_number": "270-753-6477",
"fax_number": "270-753-6478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL MEDICINE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-22",
"last_updated": "2010-10-28",
"status": "A",
"authorized_official_last_name": "WINKLER",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "270-753-6477",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "KY",
"license": "KY001536",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS/GROUP",
"identifier": "000000059678",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8700036000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "C10478",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000049118",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.