Individual provider Active NPI

Katelyn Renee Morgan, PT, DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1629447446
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006719 Issued in KY
Practice address
1650 Bryan Station Rd Ste 122
Lexington, KY 40505-2139
Phone
(859) 293-6133
Fax
(859) 293-6730
NPI assigned
Sep 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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 006719 KY Primary

Addresses

Primary practice location

1650 Bryan Station Rd Ste 122
Lexington, KY 40505-2139

Mailing address

1650 Bryan Station Rd Ste 122
Lexington, KY 40505-2139
Phone (859) 293-6133

Other practice location 1

111 Westridge Dr
Frankfort, KY 40601-4448
Phone (502) 227-3186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160325000065 KY Practitioner - Physical Therapist in Private Practice 7911204599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KLD Therapy PLLCGroup PAC ID 7618017401, 5 clinicians

Practice addresses (Care Compare)

880 Corporate Dr
Suite 202
Lexington, KY 40503-5449
Phone (859) 797-5513

PO Box
Suite 911063
Lexington, KY 40591-1063

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006719KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
KLD Therapy PLLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Past Accepting new patients

Locations

880 Corporate Dr
Ste 202
Lexington, KY 40503
Phone (859) 460-7778

Organizations & group practices 2

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": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1629447446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 BRYAN STATION RD STE 122",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405052139",
            "telephone_number": "859-293-6133",
            "fax_number": "859-293-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BRYAN STATION RD STE 122",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405052139",
            "telephone_number": "859-293-6133",
            "fax_number": "859-293-6730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Westridge Dr",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406014448",
            "country_code": "US",
            "telephone_number": "502-227-3186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KATELYN",
        "middle_name": "RENEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.