Organization Active NPI

Orthopedic & Sports Physical Therapy PLLC

  • Physical Therapist
  • Nicholasville, KY
National Provider Identifier
1417213752
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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 THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7100159410MedicaidKY

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.

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.

Verify at the official NPI Registry.