Individual provider Active NPI

Mark A. Neal, DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1659681898
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005703 Issued in KY
Practice address
151 N Eagle Creek Dr
Ste 400
Lexington, KY 40509-1889
Phone
(859) 264-8866
Fax
(859) 264-1167
NPI assigned
Oct 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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 005703 KY Primary

Addresses

Primary practice location

151 N Eagle Creek Dr
Ste 400
Lexington, KY 40509-1889

Mailing address

151 N Eagle Creek Dr
Ste 400
Lexington, KY 40509-1889
Phone (859) 264-8866

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
005703KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation, LLC PastSince Jan 1, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1659681898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 N EAGLE CREEK DR",
            "address_2": "STE 400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091889",
            "telephone_number": "859-264-8866",
            "fax_number": "859-264-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N EAGLE CREEK DR",
            "address_2": "STE 400",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091889",
            "telephone_number": "859-264-8866",
            "fax_number": "859-264-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "MARK",
        "middle_name": "A.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005703",
            "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 Oct 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.