Individual provider Active NPI

Heather C Clines, MPT

  • Physical Therapist
  • Richmond, KY
National Provider Identifier
1700823739
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004655 Issued in KY
Practice address
171 N Keeneland Dr
Richmond, KY 40475-8687
Phone
(595) 751-8888
Fax
(859) 575-4121
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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 PT004655 KY Primary

Addresses

Primary practice location

171 N Keeneland Dr
Richmond, KY 40475-8687

Mailing address

1868 Plaudit PL Ste B
Lexington, KY 40509-2429
Phone (859) 264-0512

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000237 KY Practitioner - Physical Therapist in Private Practice 4284668443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osptky LLCGroup PAC ID 6507132107, 30 clinicians

Practice addresses (Care Compare)

1868 Plaudit PL
Suite B
Lexington, KY 40509-2429
Phone (859) 264-0512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT004655KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Osptky LLC Physical Therapist CurrentSince Jul 16, 2018 Accepting new patients
Kentucky Hand and Physical Therapy BC LLC Physical Therapist Past Accepting new patients
Osptky LLC Past Accepting new patients

Locations

1868 Plaudit Pl
Ste B
Lexington, KY 40509
Phone (859) 264-0512

460 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 887-0599

171 N Keeneland Dr
Richmond, KY 40475
Phone (859) 575-1888

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1700823739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 PLAUDIT PL STE B",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092429",
            "telephone_number": "859-264-0512",
            "fax_number": "859-264-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 N KEENELAND DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404758687",
            "telephone_number": "595-751-8888",
            "fax_number": "859-575-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINES",
        "first_name": "HEATHER",
        "middle_name": "C",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT004655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.