Morgan Lay, PT

Individual provider Active NPI Physical Therapist · Williamsburg, KY

NPI 1588094650 · NPPES record last updated Aug 4, 2023

Key facts

NPI
1588094650
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
006257 (KY)
Practice address
475 N Hwy. Suite 200
Williamsburg, KY 40769-2908
Phone
(606) 825-0086
Fax
(606) 703-0134
NPI assigned
Nov 26, 2013
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maximum Potential Physical Therapy, PLLC (2 clinicians)

Practice addresses (Care Compare)

1047 S Hwy 25 W
Suite 2
Williamsburg, KY 40769-1640
Phone (606) 825-0086

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TN, KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160419002834 TN Practitioner - Physical Therapist in Private Practice 0446556476 Reassigns benefits to 1 organization
I20180116001529 KY Practitioner - Physical Therapist in Private Practice 0446556476 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
006257KYMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9852 TN
Physical Therapist 225100000X 006257 KY Yes

Addresses

Primary practice location

475 N Hwy. Suite 200
Williamsburg, KY 40769-2908

Mailing address

475 N Highway 25 W Ste 200
Williamsburg, KY 40769-1576
Phone (606) 825-0086

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 4, 2023.

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1588094650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 N HIGHWAY 25 W STE 200",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691576",
            "telephone_number": "606-825-0086",
            "fax_number": "606-703-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 N HWY. SUITE 200",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407692908",
            "telephone_number": "606-825-0086",
            "fax_number": "606-703-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAY",
        "first_name": "MORGAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-26",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "9852",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, KY

All providers in Williamsburg, KY · Physical Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.