Organization Active NPI

Performance Physical Therapy, PLLC

  • Physical Therapist
  • Nicholasville, KY
National Provider Identifier
1508166604
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT001503 Issued in KY
Legal business name
PERFORMANCE PHYSICAL THERAPY, PLLC
Practice address
2061 Lexington Rd
Nicholasville, KY 40356-9704
Phone
(859) 887-0599
Fax
(859) 887-0979
NPI assigned
Oct 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Mr. Scott Samuel Crook, P.T.
Title
Physical Therapist
Phone
(859) 887-0599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X PT001503 KY Primary

Addresses

Primary practice location

2061 Lexington Rd
Nicholasville, KY 40356-9704

Mailing address

2061 Lexington Rd
Nicholasville, KY 40356-9704
Phone (859) 887-0599

Other identifiers 1

IdentifierTypeStateIssuer
1700835410OtherNPI INDIVIDUAL NUMBER

National Provider Directory

National Provider Directory

Locations

2061 Lexington Rd
Nicholasville, KY 40356
Phone (859) 887-0599

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1508166604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 LEXINGTON RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569704",
            "telephone_number": "859-887-0599",
            "fax_number": "859-887-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 LEXINGTON RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569704",
            "telephone_number": "859-887-0599",
            "fax_number": "859-887-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-25",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "CROOK",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "859-887-0599",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT001503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL NUMBER",
            "identifier": "1700835410",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.