Active NPI
Macy Bassler, PT, DPT, CBS
- Pediatric Physical Therapist
- Grayson, KY
National Provider Identifier
1639828221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 008750
- Practice address
- 128 Rigsbees Rd
Grayson, KY 41143-8832 - Phone
- (606) 315-3003
- NPI assigned
- Mar 21, 2022
- Last updated
- May 19, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT004318 | WV | |
| Lactation Consultant (Non-RN) | 174N00000X | |||
| Pediatric Physical Therapist | 2251P0200X | 008750 | KY | Primary |
Addresses
Primary practice location
128 Rigsbees Rd
Grayson, KY 41143-8832
Mailing address
128 Rigsbees Rd
Grayson, KY 41143-8832
Phone (606) 315-3003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT004318 | WV | MD | Physical Therapist |
| 008750 | KY | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grayhaven Physical Therapy, LLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Grayson, KY
- NPI 1326801747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716076800000",
"number": "1639828221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 RIGSBEES RD",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411438832",
"telephone_number": "606-315-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 RIGSBEES RD",
"city": "GRAYSON",
"state": "KY",
"postal_code": "411438832",
"telephone_number": "606-315-3003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASSLER",
"first_name": "MACY",
"credential": "PT, DPT, CBS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2024-05-19",
"certification_date": "2024-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "PT004318",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "KY",
"license": "008750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayson, KY
- At Home Visit, PLLC
- Tina Badgett
- Brittany Angel Banks
- Corina Barker, LCSW
- Katrina Barker, APRN
- Taylor Bayes, RDN, LD
- Bellefonte Physician Services, Inc. (Bellefonte Primary Care, Grayson)
- Brittney Bellman
- Miranda Beth Binion, M.D.
- Bio-Medical Applications of Kentucky, Inc. (Fresenius Medical Care Grayson)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.