Noffsinger Physical Therapy, LLC

Organization Active NPI Physical Therapist · Powderly, KY

NPI 1700229754 · NPPES record last updated May 20, 2013

Key facts

NPI
1700229754
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
003325 (KY)
Legal business name
NOFFSINGER PHYSICAL THERAPY, LLC
Practice address
135 Copper Creek Dr
Powderly, KY 42367-5491
Phone
(270) 377-1810
NPI assigned
Apr 9, 2013
Organization subpart
No

Authorized official

Name
Christopher Shawn Noffsinger, PT
Title
PT
Phone
(270) 377-1810

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130521000083 KY Part B Supplier - Clinic/Group Practice 1850539453 Receives reassigned benefits from 1 practitioner
Practice locations: Powderly, KY

National Provider Directory

Locations

135 Copper Creek Dr
Powderly, KY 42367
Phone (270) 377-1810

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 003325 KY Yes

Addresses

Primary practice location

135 Copper Creek Dr
Powderly, KY 42367-5491

Mailing address

135 Copper Creek Dr
Powderly, KY 42367-5491
Phone (270) 377-1810

Other providers in Powderly, KY

All providers in Powderly, KY · Physical Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.