Individual provider Active NPI

Kaitlin Cordova Williams, PT DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1629638333
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007685 Issued in KY
Practice address
1128 Winchester Rd Ste 110
Lexington, KY 40505-4052
Phone
(859) 539-3305
Fax
(855) 978-1372
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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 007685 KY Primary

Addresses

Primary practice location

1128 Winchester Rd Ste 110
Lexington, KY 40505-4052

Mailing address

2208 Sonoma PL
Lexington, KY 40511-2271
Phone (859) 539-3305

Other practice location 1

2208 Sonoma Pl
Lexington, KY 40511-2271
Phone (859) 539-3305

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210816000411 KY Practitioner - Physical Therapist in Private Practice 6901200880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

149 Old Towne Walk
Apt 5302
Lexington, KY 40511-2190
Phone (859) 539-3305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007685KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Movement Physical Therapy and Wellness Physical Therapist CurrentSince Jul 28, 2021 Accepting new patients

Locations

1128 Winchester Rd
Ste 110
Lexington, KY 40505
Phone (859) 539-3305

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": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1629638333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 SONOMA PL",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112271",
            "telephone_number": "859-539-3305",
            "fax_number": "855-978-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 WINCHESTER RD STE 110",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405054052",
            "telephone_number": "859-539-3305",
            "fax_number": "855-978-1372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2208 Sonoma Pl",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405112271",
            "country_code": "US",
            "telephone_number": "859-539-3305",
            "fax_number": "855-978-1372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KAITLIN",
        "middle_name": "CORDOVA",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2026-08-16",
        "certification_date": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007685",
            "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 Aug 16, 2026; 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.