Active NPI
Orthopedic & Sports Physical Therapy PLLC
- Physical Therapist
- Nicholasville, KY
National Provider Identifier
1417213752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- ORTHOPEDIC & SPORTS PHYSICAL THERAPY PLLC
- Practice address
- 460 East Brannon Road
Nicholasville, KY 40356 - Phone
- (859) 887-0599
- Fax
- (859) 887-0979
- NPI assigned
- Apr 11, 2012
- Organization subpart
- Yes
- Parent organization
- ORTHOPEDIC & SPORTS PHYSICAL THERAPY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keisha Snipp
- Title
- Office Manager
- Phone
- (859) 887-0599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
460 East Brannon Road
Nicholasville, KY 40356
Mailing address
460 East Brannon Road
Nicholasville, KY 40356
Phone (859) 887-0599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100159410 | Medicaid | KY |
National Provider Directory
National Provider Directory- Part of
- Orthopedic Sports Physical Therapy PLLC
Locations
460 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 887-0599
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Nicholasville, KY
- NPI 1700835410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486684800000",
"number": "1417213752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 EAST BRANNON ROAD",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "40356",
"telephone_number": "859-887-0599",
"fax_number": "859-887-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 EAST BRANNON ROAD",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "40356",
"telephone_number": "859-887-0599",
"fax_number": "859-887-0979"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOPEDIC & SPORTS PHYSICAL THERAPY PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ORTHOPEDIC & SPORTS PHYSICAL THERAPY",
"enumeration_date": "2012-04-11",
"last_updated": "2017-02-10",
"status": "A",
"authorized_official_last_name": "SNIPP",
"authorized_official_first_name": "KEISHA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "859-887-0599"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100159410",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.