Individual provider Active NPI

Candace Nicole Metcalf, DPT

  • Physical Therapist
  • London, KY
National Provider Identifier
1679979611
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004850 Issued in KY
Practice address
649 Meyers Baker Rd
London, KY 40741-3006
Phone
(606) 864-7316
Fax
(606) 878-0590
NPI assigned
Nov 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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 004850 KY Primary

Addresses

Primary practice location

649 Meyers Baker Rd
London, KY 40741-3006

Mailing address

649 Meyers Baker Rd
London, KY 40741-3006
Phone (606) 864-7316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220510001911 KY Practitioner - Physical Therapist in Private Practice 7012394281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Rehabilitation Services of Kentucky, LLC CurrentSince May 1, 2022 Accepting new patients
H2 Rehabilitation Services of Kentucky, LLC CurrentSince May 1, 2022 Accepting new patients

Locations

649 Meyers Baker Rd
Ste 102
London, KY 40741
Phone (606) 864-7316

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.

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1679979611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 MEYERS BAKER RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413006",
            "telephone_number": "606-864-7316",
            "fax_number": "606-878-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 MEYERS BAKER RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407413006",
            "telephone_number": "606-864-7316",
            "fax_number": "606-878-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCALF",
        "first_name": "CANDACE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.