NPIMap

Organization Active NPI

Western Kentucky Orthopaedic Associates Rehabilitation Department

  • Physical Therapist
  • Bowling Green, KY
National Provider Identifier
1477726909
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-003526 Issued in KY
Legal business name
WESTERN KENTUCKY ORTHOPAEDIC ASSOCIATES REHABILITATION DEPARTMENT
Practice address
1777 Ashley Cir
Bowling Green, KY 42104-3339
Phone
(270) 793-0395
Fax
(270) 793-0765
NPI assigned
Apr 4, 2008
Last updated
Apr 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
WESTERN KENTUCKY ORTHOPAEDIC ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Mr. Brad Lear, P.T.
Title
Program Director
Phone
(270) 793-0395

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-003058 KY
Physical Therapist 225100000X PT-004206 KY
Physical Therapist 225100000X PT-003526 KY Primary
Occupational Therapist 225X00000X R2545 KY
Occupational Therapist 225X00000X R3434 KY

Addresses

Primary practice location

1777 Ashley Cir
Bowling Green, KY 42104-3339

Mailing address

1777 Ashley Cir
Bowling Green, KY 42104-3339
Phone (270) 793-0395

National Provider Directory

National Provider Directory
Tax ID family
Western Kentucky Ortho4 organizations share this tax ID, including this one
Part of
Western Kentucky Ortho

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1477726909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043339",
            "telephone_number": "270-793-0395",
            "fax_number": "270-793-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 ASHLEY CIR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043339",
            "telephone_number": "270-793-0395",
            "fax_number": "270-793-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KENTUCKY ORTHOPAEDIC ASSOCIATES REHABILITATION DEPARTMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN KENTUCKY ORTHOPAEDIC ASSOCIATES",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "LEAR",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "270-793-0395",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT-003058",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT-004206",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT-003526",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R2545",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "R3434",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.