Organization Active NPI

Physical Medicine Services, Inc.

  • Specialist
  • Murray, KY
National Provider Identifier
1366442105
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
KY001536 Issued in KY
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

Updated by the provider on Oct 28, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000000059678OtherKYANTHEM BCBS/GROUP
8700036000MedicaidKY
C10478OtherKYRAILROAD MEDICARE
000000049118OtherKYANTHEM BCBS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.