Paducah Physical Therapy and Pschology Center, PSC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

100605 Issued in KY

Legal business name

PADUCAH PHYSICAL THERAPY AND PSCHOLOGY CENTER, PSC

Practice address

2831 Lone Oak Rd
Paducah, KY 42003-8041

Phone

(270) 554-8373

Fax

(270) 554-8987

NPI assigned

Feb 24, 2006

Organization subpart

No

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

Authorized official

Name

Patricia Burks, LPT

Title

Clinic Director

Phone

(270) 554-8373

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679549083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038041",
            "telephone_number": "270-554-8373",
            "fax_number": "270-554-8987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420038041",
            "telephone_number": "270-554-8373",
            "fax_number": "270-554-8987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADUCAH PHYSICAL THERAPY AND PSCHOLOGY CENTER, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "270-554-8373",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "KY",
            "license": "100605",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "100605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paducah Neurosurgical Associates, PSC
• Paducah Operating Company LLC
• Paducah Ophthalmology ASC LLC
• Paducah Pediatric Dentistry PSC
• Paducah Physiatric Partners P.S.C.
• Paducah Plastic and Reconstructive Surgery
• Paducah Primary Care, P.S.C.
• Paducah Psychiatry Group PSC
• Paducah Public Schools
• Paducah Recovery LLC

• Psychologist in Paducah, KY
• Providers in Paducah, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.