Organization Active NPI

Patty-Cake Physical Therapy Inc

  • Early Intervention Provider Agency
  • Campbellsville, KY
National Provider Identifier
1508105602
Registry record updated Feb 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
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

Updated by the provider on Feb 8, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.