NPIMap

Organization Active NPI

BG House Enterprises Inc

Doing business as Spencer County Physical Therapy

  • Physical Therapist
  • Taylorsville, KY
National Provider Identifier
1669590774
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BG HOUSE ENTERPRISES INC
Doing business as
Spencer County Physical Therapy
Practice address
4813 Taylorsville Rd
Taylorsville, KY 40071
Phone
(502) 477-0300
Fax
(502) 477-0303
NPI assigned
Mar 27, 2007
Last updated
Mar 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Mr. Shawn P Maskalick, PT, DPTNPI 1255836086
Title
Owner
Phone
(502) 477-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

4813 Taylorsville Rd
Taylorsville, KY 40071

Mailing address

4813 Taylorsville Rd
Taylorsville, KY 40071
Phone (502) 477-0300

Other names 1

  • Spencer County Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

4813 Taylorsville Rd
Taylorsville, KY 40071
Phone (502) 477-0300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1669590774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4813 TAYLORSVILLE RD",
            "city": "TAYLORSVILLE",
            "state": "KY",
            "postal_code": "40071",
            "telephone_number": "502-477-0300",
            "fax_number": "502-477-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 TAYLORSVILLE RD",
            "city": "TAYLORSVILLE",
            "state": "KY",
            "postal_code": "40071",
            "telephone_number": "502-477-0300",
            "fax_number": "502-477-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BG HOUSE ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "MASKALICK",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-477-0300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spencer County Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spencer County Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.