Individual provider Active NPI

Terry Lee Troutt, MD

  • Physical Medicine & Rehabilitation Physician
  • Winchester, KY
National Provider Identifier
1649263625
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
31418 Issued in KY
Practice address
136 Professional Ave
Ste 8
Winchester, KY 40391-1116
Phone
(859) 744-9252
Fax
(859) 744-9118
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 31418 KY
Physical Medicine & Rehabilitation Physician 208100000X 31418 KY Primary

Addresses

Primary practice location

136 Professional Ave
Ste 8
Winchester, KY 40391-1116

Mailing address

136 Professional Ave
Ste 8
Winchester, KY 40391-1116
Phone (859) 744-9252

Other identifiers 2

IdentifierTypeStateIssuer
000000051791OtherKYANTHEM BCBS
64314180MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120417000245 KY Practitioner - Pain ManagementPractitioner - Physical Medicine and Rehabilitation 1557535341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

136 Professional Ave
Suite 8
Winchester, KY 40391-1116
Phone (859) 744-9252

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31418KYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Troutt and Associates, PSC Physical Medicine & Rehabilitation CurrentSince Mar 1, 1996 Accepting new patients
Visium Healthlink LLC CurrentSince May 1, 2023 Accepting new patients

Locations

1042 Center Dr
Ste 102
Richmond, KY 40475
Phone (859) 221-8990

136 Professional Ave
Ste 8
Winchester, KY 40391
Phone (859) 744-9252

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1649263625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 PROFESSIONAL AVE",
            "address_2": "STE 8",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911116",
            "telephone_number": "859-744-9252",
            "fax_number": "859-744-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 PROFESSIONAL AVE",
            "address_2": "STE 8",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911116",
            "telephone_number": "859-744-9252",
            "fax_number": "859-744-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROUTT",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "31418",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "31418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000051791",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64314180",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

Verify at the official NPI Registry.