Michael Nelson Caudill Jr., P.T., D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005876 Issued in KY

Practice address

1650 Bryan Station Rd Ste 110
Lexington, KY 40505-2139

Phone

(859) 293-6133

NPI assigned

Jan 17, 2012

Last updated

Jan 17, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1427329853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BRYAN STATION RD STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405052139",
            "telephone_number": "859-293-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BRYAN STATION RD STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405052139",
            "telephone_number": "859-293-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILL",
        "first_name": "MICHAEL",
        "middle_name": "NELSON",
        "name_suffix": "Jr.",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-17",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Chase Caudill
• Jeffrey R. Caudill, PT
• Jessica Combs Caudill, MS, RD, LD
• John L Caudill, M.D.
• Joseph Medford Caudill, L.C.S.W.
• Michelle M. Caudill
• Stephanie Layne Caudill, MSPT
• Tabatha Faye Caudill, APRN
• Timothy Shawn Caudill, MD
• Megan Allene Caudy

• Physical Therapist in Lexington, KY
• Providers in Lexington, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.