NPIMap

Organization Active NPI

Appalachian Rehabilitation Team, Inc.

Doing business as East Kentucky Physical Therapy and Sports Clinic

  • Physical Therapist
  • Whitesburg, KY
National Provider Identifier
1700075314
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
APPALACHIAN REHABILITATION TEAM, INC.
Doing business as
East Kentucky Physical Therapy and Sports Clinic
Practice address
251 Medical Plaza Lane
Suite a
Whitesburg, KY 41858
Phone
(606) 632-1188
Fax
(606) 632-0075
NPI assigned
Oct 19, 2007
Last updated
May 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Susie Howard
Title
Office Manager
Phone
(606) 632-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

251 Medical Plaza Lane
Suite a
Whitesburg, KY 41858

Mailing address

149 Medical Plaza Lane
Suite a
Whitesburg, KY 41858
Phone (606) 632-1188

Other names 1

  • East Kentucky Physical Therapy and Sports Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100504000249 VA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355230509 Receives reassigned benefits from 2 practitioners
Practice locations: Norton, VA

National Provider Directory

National Provider Directory

Locations

509 Bypass Rd
Pikeville, KY 41501
Phone (606) 432-8585

6800 US Highway 23 S
Ste 4
Pikeville, KY 41501
Phone (606) 639-1200

149 Medical Plaza Ln
Ste A
Whitesburg, KY 41858
Phone (606) 623-1188

251 Medical Plaza Ln
Ste A
Whitesburg, KY 41858
Phone (606) 632-1188

251 Medical Plaza Ln
Ste D
Whitesburg, KY 41858
Phone (606) 632-1188

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1700075314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MEDICAL PLAZA LANE",
            "address_2": "SUITE A",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "41858",
            "telephone_number": "606-632-1188",
            "fax_number": "606-632-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MEDICAL PLAZA LANE",
            "address_2": "SUITE A",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "41858",
            "telephone_number": "606-632-1188",
            "fax_number": "606-632-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN REHABILITATION TEAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "SUSIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-632-1188"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Kentucky Physical Therapy and Sports Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitesburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.