Organization Active NPI

CKW Physical Therapy Inc

Doing business as Morehead & West Liberty Physical Therapy

  • Physical Therapist
  • West Liberty, KY
National Provider Identifier
1629263322
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CKW PHYSICAL THERAPY INC
Doing business as
Morehead & West Liberty Physical Therapy
Practice address
389 Prestonsburg St
West Liberty, KY 41472-1137
Phone
(606) 743-3608
Fax
(606) 743-3631
NPI assigned
Sep 6, 2007
Last updated
Jun 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Ms. Stacy Slone Cook, P.T.
Title
Owner/Physical Therapist
Phone
(606) 743-3608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

389 Prestonsburg St
West Liberty, KY 41472-1137

Mailing address

226 Stone Street
Morehead, KY 40351-0015
Phone (606) 780-0232

Other identifiers 1

IdentifierTypeStateIssuer
DD4804OtherKYMEDICARE RAILROAD CARRIER

Other names 1

  • Morehead & West Liberty Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040503000201 KY Part B Supplier - Clinic/Group Practice 1951399773 Receives reassigned benefits from 2 practitioners
Practice locations: Morehead, KY; West Liberty, KY

National Provider Directory

National Provider Directory

Locations

220 Kroger Ctr
Morehead, KY 40351
Phone (606) 780-0232

226 Stone St
Morehead, KY 40351
Phone (606) 780-0232

389 Prestonsburg St
West Liberty, KY 41472
Phone (606) 743-3608

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1629263322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 STONE STREET",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403510015",
            "telephone_number": "606-780-0232",
            "fax_number": "606-780-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 PRESTONSBURG ST",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414721137",
            "telephone_number": "606-743-3608",
            "fax_number": "606-743-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKW PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "SLONE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "606-743-3608",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "DD4804",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morehead & West Liberty Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Liberty, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.