Individual provider Active NPI

Jeffery Parmelee, PT

  • Physical Therapist
  • Somerset, KY
National Provider Identifier
1528087947
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002276 Issued in KY
Practice address
175 Medpark Dr
Suite 203
Somerset, KY 42503-2734
Phone
(606) 679-1761
Fax
(606) 678-0971
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 002276 KY Primary

Addresses

Primary practice location

175 Medpark Dr
Suite 203
Somerset, KY 42503-2734

Mailing address

175 Medpark Dr
Somerset, KY 42503-2734
Phone (606) 679-1761

Other identifiers 2

IdentifierTypeStateIssuer
000000225909OtherKYBCBS PROVIDER NUMBER
87022760MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000640 KY Practitioner - Physical Therapist in Private Practice 2961691696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Rehab Center PSCGroup PAC ID 2466480751, 8 clinicians

Practice addresses (Care Compare)

175 Medpark Dr
Someret, KY 42503-2734
Phone (606) 679-1761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002276KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehab Center, PSC Physical Therapist CurrentSince Jan 1, 2011 Accepting new patients

Locations

353 Bogle St
Somerset, KY 42503
Phone (606) 451-3820

175 Medpark Dr
Somerset, KY 42503
Phone (606) 679-1761

175 Medpark Dr
Ste 203
Somerset, KY 42503
Phone (606) 679-1761

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396396800000",
    "number": "1528087947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MEDPARK DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032734",
            "telephone_number": "606-679-1761",
            "fax_number": "606-678-0971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MEDPARK DR",
            "address_2": "SUITE 203",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032734",
            "telephone_number": "606-679-1761",
            "fax_number": "606-678-0971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARMELEE",
        "first_name": "JEFFERY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "000000225909",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87022760",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.