Active NPI
Timothy Branden Bubnick, PT
- Physical Therapist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007378
- Practice address
- 1588 Leestown Rd Ste 120
Lexington, KY 40511-2365 - Phone
- (859) 317-8086
- Fax
- (859) 317-8894
- NPI assigned
- Jul 1, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TN | ||
| Physical Therapist | 225100000X | 007378 | KY | Primary |
Addresses
Primary practice location
1588 Leestown Rd Ste 120
Lexington, KY 40511-2365
Mailing address
6397 Lee Hwy Ste 300
Chattanooga, TN 37421-4915
Phone (423) 238-8930
Other practice location 1
1054 Center Dr Ste 1
Richmond, KY 40475-3851
Phone (859) 625-0600
Other practice location 2
2817 W Andrew Johnson Hwy
Morristown, TN 37814-3216
Phone (423) 586-4810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10206 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Kentucky LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of Ky LLC | Physical Therapist | Current | Accepting new patients |
| Agilitas USA, Inc | Physical Therapist | Current | Accepting new patients |
| Agilitas USA Inc | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
6408 W Highway 146
Ste 9
Crestwood, KY 40014
Phone (502) 212-2171
1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086
805 Blankenbaker Pkwy
Louisville, KY 40243
Phone (502) 253-0833
805 Blankenbaker Pkwy
Ste 107
Louisville, KY 40243
Phone (502) 253-0833
1054 Center Dr
Ste 1
Richmond, KY 40475
Phone (859) 625-0600
200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192
2817 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 586-4810
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Lexington, KY
- NPI 1821430257
-
- Physical Therapist
- Winchester, KY
- NPI 1639511074
-
- Physical Therapy Clinic/Center
- Louisville, KY
- NPI 1609117811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581638400000",
"number": "1700292539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6397 LEE HWY STE 300",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374214915",
"telephone_number": "423-238-8930",
"fax_number": "423-254-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1588 LEESTOWN RD STE 120",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405112365",
"telephone_number": "859-317-8086",
"fax_number": "859-317-8894"
}
],
"practiceLocations": [
{
"address_1": "1054 Center Dr Ste 1",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404753851",
"country_code": "US",
"telephone_number": "859-625-0600",
"fax_number": "859-625-0969",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2817 W Andrew Johnson Hwy",
"address_purpose": "LOCATION",
"city": "Morristown",
"state": "TN",
"postal_code": "378143216",
"country_code": "US",
"telephone_number": "423-586-4810",
"fax_number": "423-586-4811",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUBNICK",
"first_name": "TIMOTHY",
"middle_name": "BRANDEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-01",
"last_updated": "2020-02-14",
"certification_date": "2020-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "007378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.