Organization Active NPI

Hometown Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Corbin, KY
National Provider Identifier
1407025810
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HOMETOWN PHYSICAL THERAPY, PLLC
Practice address
121 Bishop St
Corbin, KY 40701-1702
Phone
(606) 528-5122
Fax
(606) 523-1593
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Tom Shelton, MSPT
Title
Managing Manager
Phone
(606) 528-5122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

121 Bishop St
Corbin, KY 40701-1702

Mailing address

PO Box 1443
Corbin, KY 40702-1443
Phone (606) 528-5122

National Provider Directory

National Provider Directory

Locations

121 Bishop St
Ste 102
Corbin, KY 40701
Phone (606) 528-5122

Practitioners & affiliated clinicians

Practitioners 1

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": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1407025810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1443",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407021443",
            "telephone_number": "606-528-5122",
            "fax_number": "606-523-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BISHOP ST",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407011702",
            "telephone_number": "606-528-5122",
            "fax_number": "606-523-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "MANAGING MANAGER",
        "authorized_official_telephone_number": "606-528-5122",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.