Phoenix Physical Therapy, PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5377 Issued in KY

Legal business name

PHOENIX PHYSICAL THERAPY, PLLC

Practice address

122 Daniel Dr
Danville, KY 40422-2527

Phone

(859) 236-4686

Fax

(859) 236-4624

NPI assigned

May 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Matthew John Schelling, MSPTNPI 1588615942

Title

Comember

Phone

(859) 236-4686

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew J. Schelling, MA, MSPT

  • Physical Therapist
  • Frankfort, KY
  • NPI 1588615942
  Authorized official Same address or phone
• Erik C. Drake, MSPT

  • Physical Therapist
  • Danville, KY
  • NPI 1932150497
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437108818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 DANIEL DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222527",
            "telephone_number": "859-236-4686",
            "fax_number": "859-236-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 DANIEL DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404222527",
            "telephone_number": "859-236-4686",
            "fax_number": "859-236-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHELLING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "COMEMBER",
        "authorized_official_telephone_number": "859-236-4686",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "5377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Fricke Pendergrass, MS, RD, LD
• Peter F. Ballard, M.D., PSC
• Ashley Elizabeth Peterson, OD
• James Lee Phillips II, PT, DPT
• John Caleb Phillips, UNIT MANAGER LPN
• Pioneer Vocational Industrial Services,Inc.
• Jessica Lynn Popplewell, DMD
• Mark Elliott Porter II, LPCA, TCM
• Ashley Potts, DC
• Thomas Potts

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.