Estelle Athalene Saylor-Pavkovich, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004406 Issued in KY

Practice address

404 Shoppers Drive
Winchester, KY 40391

Phone

(859) 744-0036

Fax

(859) 744-0041

NPI assigned

May 24, 2006

Last updated

Oct 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Estelle Athalene Saylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1699720839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W LOWRY LN",
            "address_2": "STE 112",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033012",
            "telephone_number": "859-744-0036",
            "fax_number": "859-744-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SHOPPERS DRIVE",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "40391",
            "telephone_number": "859-744-0036",
            "fax_number": "859-744-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLOR-PAVKOVICH",
        "first_name": "ESTELLE",
        "middle_name": "ATHALENE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KY",
            "license": "PT-004406",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100216410",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTELLE",
            "last_name": "SAYLOR",
            "middle_name": "ATHALENE",
            "credential": "PT, MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber D Rudd, APRN
• Diane Dabit Sackleh, ARPN
• Anna Marie Salyer
• Samantha Mills, LCSW, LLC
• Michelle D Sames, LPCC-S
• Matthew Schaffer
• Christopher Scheib, M.D.
• Jonathan Schinhofen, LPCC
• Kurt S Schlenther, PA-C
• Carolyn Ann Schulte, DEVELOPMENTAL INTERV

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.