Mantooth Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MANTOOTH PHYSICAL THERAPY, LLC

Practice address

301 W Walnut St
Leitchfield, KY 42754-1256

Phone

(270) 589-1730

NPI assigned

May 19, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Vivian Mantooth, PT

Title

Physical Therapist/Owner

Phone

(270) 589-1730

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1689297152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W WALNUT ST",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "42754",
            "telephone_number": "270-589-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W WALNUT ST",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427541256",
            "telephone_number": "270-589-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTOOTH PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "MANTOOTH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "VIVIAN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "270-589-1730",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louisville Optometric Centers, III PSC
• Laura Lucas
• Debra S Lusk, APRN
• John Anthony Lyons, CRNA
• Rodney D Mann, CRNA
• Mary Vivian Mantooth, PT
• Veronica Sue Masden
• Jamie Mathis, RBT
• Amy Nicole Mattingly
• Angela Dawn McCray, P.T.

• Physical Therapist in Leitchfield, KY
• Providers in Leitchfield, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.