Active NPI
Patty-Cake Physical Therapy Inc
- Early Intervention Provider Agency
- Campbellsville, KY
National Provider Identifier
1508105602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- PATTY-CAKE PHYSICAL THERAPY INC
- Practice address
- 1014 Woodhill Rd
Campbellsville, KY 42718-4914 - Phone
- (270) 692-8622
- NPI assigned
- Feb 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Erica Lynn Young, PT
- Title
- President
- Phone
- (270) 692-8622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
1014 Woodhill Rd
Campbellsville, KY 42718-4914
Mailing address
1014 Woodhill Rd
Campbellsville, KY 42718-4914
Phone (270) 692-8622
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360281600000",
"number": "1508105602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 WOODHILL RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427184914",
"telephone_number": "270-692-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 WOODHILL RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427184914",
"telephone_number": "270-692-8622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATTY-CAKE PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-08",
"last_updated": "2013-02-08",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "ERICA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-692-8622",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Campbellsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.