Ky PT PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3875 Issued in KY

Legal business name

KY PT PLLC

Practice address

5520 Fern Valley Rd Ste 108
Louisville, KY 40228-1088

Phone

(678) 735-0769

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Ann Elizabeth Eggert, M.D.

Title

Owner

Phone

(502) 409-8490

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1467993709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 FERN VALLEY RD STE 108",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281088",
            "telephone_number": "678-735-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 FERN VALLEY RD STE 108",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281088",
            "telephone_number": "678-735-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KY PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "EGGERT",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-409-8490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "KY",
            "license": "3875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.