Active NPI
Performance Physical Therapy, PLLC
- Physical Therapist
- Nicholasville, KY
National Provider Identifier
1508166604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT001503
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700835410 | Other | NPI INDIVIDUAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.