NPIMap

Organization Active NPI

Osptky, LLC

  • Physical Therapy Clinic/Center
  • Stanford, KY
National Provider Identifier
1669974549
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
OSPTKY, LLC
Practice address
132 Frontier Blvd Ste 106
Stanford, KY 40484-6516
Phone
(606) 257-0005
Fax
(606) 262-4132
NPI assigned
Mar 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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

Authorized official

Name
Bradley S Wheeldon
Title
Member/Owner
Phone
(502) 426-2221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

132 Frontier Blvd Ste 106
Stanford, KY 40484-6516

Mailing address

1868 Plaudit PL Ste B
Lexington, KY 40509-2429
Phone (859) 264-0512

Other identifiers 1

IdentifierTypeStateIssuer
7100523400MedicaidKY

Other names 1

  • Orthopedic & Sports PT of Lincoln Co Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Osptky LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1868 Plaudit Pl
Ste B
Lexington, KY 40509
Phone (859) 264-0512

132 Frontier Blvd
Ste 106
Stanford, KY 40484
Phone (606) 257-0005

123 Frontier Blvd
Ste 106
Stanford, KY 40484
Phone (606) 257-0005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1669974549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 PLAUDIT PL STE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092429",
            "telephone_number": "859-264-0512",
            "fax_number": "859-264-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 FRONTIER BLVD STE 106",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404846516",
            "telephone_number": "606-257-0005",
            "fax_number": "606-262-4132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSPTKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-06",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "WHEELDON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "502-426-2221"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100523400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic & Sports PT of Lincoln Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanford, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.