Organization Active NPI

Kearns Physical Therapy LLC

  • Pediatric Physical Therapist
  • Nicholasville, KY
National Provider Identifier
1700080819
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
004930 Issued in KY
Legal business name
KEARNS PHYSICAL THERAPY LLC
Practice address
107 Creekrock Cir
Nicholasville, KY 40356-8037
Phone
(859) 401-2941
NPI assigned
Jun 13, 2007
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Mrs. Elise K Watson, PT
Title
Manager
Phone
(859) 401-2941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 004930 KY Primary

Addresses

Primary practice location

107 Creekrock Cir
Nicholasville, KY 40356-8037

Mailing address

107 Creekrock Cir
Nicholasville, KY 40356-8037
Phone (859) 401-2941

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1700080819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CREEKROCK CIR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568037",
            "telephone_number": "859-401-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CREEKROCK CIR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568037",
            "telephone_number": "859-401-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "859-401-2941",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "KY",
            "license": "004930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.