Summit Performance Therapy, LLC.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SUMMIT PERFORMANCE THERAPY, LLC.

Practice address

2415 Lime Kiln LN Ste B
Louisville, KY 40222-3429

Phone

(502) 377-2319

Fax

(907) 917-2834

NPI assigned

Feb 21, 2019

Organization subpart

No

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

Authorized official

Name

Dustin Ryan Patton, PHYSICAL THERAPISTNPI 1275777369

Title

Physical Therapist

Phone

(502) 377-2319

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dustin Ryan Patton, PT, DPT

  • Physical Therapist
  • Louisville, KY
  • NPI 1275777369
  Medicare reassignment Care Compare group NPD Authorized official
• Tracy Ann Patton, PT

  • Physical Therapist
  • Louisville, KY
  • NPI 1144873639
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1598222986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 LIME KILN LN STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223429",
            "telephone_number": "502-377-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 LIME KILN LN STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402223429",
            "telephone_number": "502-377-2319",
            "fax_number": "907-917-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PERFORMANCE THERAPY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "502-377-2319",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth James Summers, OD
• Shaunica C Summers, CSW
• Ted Summers
• William Summers
• Tammy Crisp Summey, COTA/L
• Summit Surgery Center
• Allison Sumner, M.S., BCBA, LBA
• Holly Sumner, LCSW
• Janelle Sumner
• Kendyl Joan Sumner, APRN

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.