Individual provider Active NPI

Amy Lykins Thoroughman, PT

  • Physical Therapist
  • Richmond, KY
National Provider Identifier
1700038296
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5141 Issued in KY
Practice address
5006 Atwood Dr
Richmond, KY 40475-8179
Phone
(859) 623-2057
Fax
(859) 623-2058
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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 5141 KY Primary

Addresses

Primary practice location

5006 Atwood Dr
Richmond, KY 40475-8179

Mailing address

5006 Atwood Dr
Richmond, KY 40475-8179
Phone (859) 623-2057

Other identifiers 2

IdentifierTypeStateIssuer
4220815OtherTNBCBS OF TENNESSEE
0446631MedicaidTN

Other names 1

  • Amy Michelle Lykins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5141KYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1700038296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 ATWOOD DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758179",
            "telephone_number": "859-623-2057",
            "fax_number": "859-623-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 ATWOOD DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758179",
            "telephone_number": "859-623-2057",
            "fax_number": "859-623-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOROUGHMAN",
        "first_name": "AMY",
        "middle_name": "LYKINS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "5141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "4220815",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446631",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LYKINS",
            "middle_name": "MICHELLE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.