Lighthouse Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

000953 Issued in KY

Legal business name

LIGHTHOUSE PHYSICAL THERAPY, INC.

Practice address

1200 North Highway 27
Whitley City, KY 42653

Phone

(606) 376-8020

Fax

(606) 376-8055

NPI assigned

Jul 31, 2007

Last updated

Jul 31, 2007By 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

Daphne R Loze

Title

Office Manager

Phone

(606) 376-8020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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.

• Shawn Frazee, PT, DPT

  • Physical Therapist
  • Whitley City, KY
  • NPI 1003483439
  Medicare reassignment Care Compare group NPD
• George William Loze, PHYSICAL THERAPIST

  • Physical Therapist
  • Whitley City, KY
  • NPI 1093801003
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1508056961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426530936",
            "telephone_number": "606-376-8020",
            "fax_number": "606-376-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NORTH HIGHWAY 27",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "42653",
            "telephone_number": "606-376-8020",
            "fax_number": "606-376-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "LOZE",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-376-8020"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": "000953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• L&M Medical Equipment, Inc (Pulmonary Home Care)
• Lake Cumberland District Health Department (McCreary County Health Department)
• Lake Cumberland District Heatlh Dept (Whitley City Elementary School)
• Ashok Kumar Lakhiani, MD
• Terry Lawson, APRN
• Nicole Shaylyn Link, PHARMD
• George William Loze, PHYSICAL THERAPIST
• Tiffani Maggard
• Maranda Manning
• Charlotte Louise Marlow, LPCC

• Physical Therapy Clinic/Center in Whitley City, KY
• Providers in Whitley City, KY by specialty
• Physical Therapy Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.