Individual provider Active NPI

Sarah P Mattingly, MSPT

  • Physical Therapist
  • Hardinsburg, KY
National Provider Identifier
1407899313
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0004647 Issued in KY
Practice address
237 E Highway 60
Hardinsburg, KY 40143-4892
Phone
(270) 580-4444
Fax
(859) 745-2153
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0004647 KY Primary

Addresses

Primary practice location

237 E Highway 60
Hardinsburg, KY 40143-4892

Mailing address

2820 Michelle Park
Lexington, KY 40511-8644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041001000246 KY Practitioner - Physical Therapist in Private Practice 8022087477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Physical Therapy 4 clinicians

Practice addresses (Care Compare)

237 E Hwy 60
Hardinsburg, KY 40143-4892
Phone (270) 580-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0004647KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Nov 1, 2013 Accepting new patients
Legacy Physical Therapy Physical Therapist CurrentSince Nov 25, 2020 Accepting new patients
Kentucky Hand and Physical Therapy BC LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

237 E Highway 60
Hardinsburg, KY 40143
Phone (270) 580-4444

1010 Monarch St
Ste 150
Lexington, KY 40513
Phone (859) 219-0211

1054 Center Dr
Ste 1
Richmond, KY 40475
Phone (859) 625-0600

160 Pedro Way
Winchester, KY 40391
Phone (859) 737-5188

200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1407899313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 MICHELLE PARK",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405118644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 E HIGHWAY 60",
            "city": "HARDINSBURG",
            "state": "KY",
            "postal_code": "401434892",
            "telephone_number": "270-580-4444",
            "fax_number": "859-745-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTINGLY",
        "first_name": "SARAH",
        "middle_name": "P",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "0004647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hardinsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.