PT Practices
Organization Active NPI Physical Therapy Clinic/Center · Rineyville, KY
NPI 1447542824 · NPPES record last updated Jun 2, 2011
Key facts
- NPI
- 1447542824
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 004091 (KY)
- Legal business name
- PT PRACTICES
- Practice address
- 6184 Rineyville Road
Rineyville, KY 40162 - Phone
- (270) 765-5633
- Fax
- (270) 763-0054
- NPI assigned
- May 4, 2011
- Organization subpart
- No
Authorized official
- Name
- Mrs. Michelle Leigh Higdon
- Title
- Owner/Operator
- Phone
- (270) 765-5633
Practitioners 2
-
Michelle Leigh Higdon, PT, DPT
-
Jessi Diana Lloyd, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110824000558 | KY | Part B Supplier - Clinic/Group Practice | 4284804519 |
Receives reassigned benefits from 1 practitioner Practice locations: Rineyville, KY |
National Provider Directory
Locations
6152 Rineyville Rd
Rineyville, KY 40162
Phone (270) 765-5633
6184 Rineyville Rd
Rineyville, KY 40162
Phone (270) 765-5633
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 004091 | KY | Yes |
Addresses
Primary practice location
6184 Rineyville Road
Rineyville, KY 40162
Mailing address
PO Box 175
Rineyville, KY 40162-0175
Phone (270) 765-5633
Other providers in Rineyville, KY
- Michelle Leigh Higdon
- Lori Roby Jarboe
- Amanda Josephine Lee Degner
- Amy N Martin
- Heather Oldham
- Ciara Taylor
All providers in Rineyville, KY · Physical Therapy Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.