Individual provider Active NPI

Nathan D. Bricken, P.T.

  • Physical Therapist
  • Prestonsburg, KY
National Provider Identifier
1710160882
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002413 Issued in KY
Practice address
83 Dewey St
Prestonsburg, KY 41653-7923
Phone
(606) 886-9888
Fax
(606) 886-9416
NPI assigned
Dec 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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 002413 KY Primary

Addresses

Primary practice location

83 Dewey St
Prestonsburg, KY 41653-7923

Mailing address

PO Box 2530
Pikeville, KY 41502-2530
Phone (606) 637-1830

Other practice location 1

515 Broadway St
Paintsville, KY 41240-1391
Phone (606) 789-7201

Other practice location 2

175 Weddington Branch Rd
Pikeville, KY 41501-3204
Phone (606) 637-1830

Other identifiers 1

IdentifierTypeStateIssuer
7100407210MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151202000222 KY Practitioner - Physical Therapist in Private Practice 1951398973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Rehab Pikeville, LLCGroup PAC ID 5799772711, 8 clinicians

Practice addresses (Care Compare)

83 Dewey St
Prestonsburg, KY 41653-7923
Phone (606) 886-9888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002413KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Rehab Pikeville LLC Physical Therapist CurrentSince Apr 29, 2004 Accepting new patients
Big Sandy Physical Therapy Physical Therapist PastSince Sep 28, 2015 Accepting new patients

Locations

515 Broadway St
Paintsville, KY 41240
Phone (606) 789-7201

175 Weddington Branch Rd
Pikeville, KY 41501
Phone (606) 436-6600

69 Weddington Branch Rd
Pikeville, KY 41501
Phone (606) 437-1933

83 Dewey St
Prestonsburg, KY 41653
Phone (606) 886-9888

Organizations & group practices 2

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": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1710160882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2530",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415022530",
            "telephone_number": "606-637-1830",
            "fax_number": "606-637-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 DEWEY ST",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416537923",
            "telephone_number": "606-886-9888",
            "fax_number": "606-886-9416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401391",
            "country_code": "US",
            "telephone_number": "606-789-7201",
            "fax_number": "606-789-7270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Weddington Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013204",
            "country_code": "US",
            "telephone_number": "606-637-1830",
            "fax_number": "606-637-1832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRICKEN",
        "first_name": "NATHAN",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100407210",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.