NPIMap

Organization Active NPI

Woodford Physical Therapy, PSC

  • Rehabilitation Clinic/Center
  • Versailles, KY
National Provider Identifier
1386677599
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
WOODFORD PHYSICAL THERAPY, PSC
Practice address
115 C Crossfield Dr.
Versailles, KY 40383
Phone
(859) 879-8898
Fax
(859) 879-8458
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Authorized official

Name
Michael Spalding, PT, DPTNPI 1326081712
Title
Owner
Phone
(859) 879-8898

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X KY
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

115 C Crossfield Dr.
Versailles, KY 40383

Mailing address

115 C Crossfield Dr.
Versailles, KY 40383
Phone (859) 879-8898

Other names 1

  • Frankfort Physical Therapy, PSC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401001061 KY Part B Supplier - Clinic/Group Practice 6103818893 Receives reassigned benefits from 7 practitioners
Practice locations: Versailles, KY

National Provider Directory

National Provider Directory

Locations

115 Crossfield Dr
Ste C
Versailles, KY 40383
Phone (859) 879-8898

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1386677599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 C CROSSFIELD DR.",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "40383",
            "telephone_number": "859-879-8898",
            "fax_number": "859-879-8458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 C CROSSFIELD DR.",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "40383",
            "telephone_number": "859-879-8898",
            "fax_number": "859-879-8458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFORD PHYSICAL THERAPY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "SPALDING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-879-8898",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frankfort Physical Therapy, PSC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Versailles, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.