Active NPI
Jennifer Stauffer Cogdill, P.T.
- Physical Therapist
- Richmond, KY
National Provider Identifier
1730440918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005130
- Practice address
- 370 Highland Park Dr
Suite 1
Richmond, KY 40475-3546 - Phone
- (859) 623-4567
- NPI assigned
- Jun 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005130 | KY | Primary |
Addresses
Primary practice location
370 Highland Park Dr
Suite 1
Richmond, KY 40475-3546
Mailing address
113 Welchwood Dr
Berea, KY 40403-9795
Phone (859) 985-5825
Other names 1
- Jennifer Ruth Stauffer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1165 Monarch St
Lexington, KY 40513-1979
Phone (844) 502-7996
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Kentucky, LLC | Current | Accepting new patients | |
| Empowerme Rehabilitation Kentucky, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
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.
-
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1275166696
Physical Therapist
-
- Rehabilitation Clinic/Center
- Florence, KY
- NPI 1669195640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1730440918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 WELCHWOOD DR",
"city": "BEREA",
"state": "KY",
"postal_code": "404039795",
"telephone_number": "859-985-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 HIGHLAND PARK DR",
"address_2": "SUITE 1",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404753546",
"telephone_number": "859-623-4567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGDILL",
"first_name": "JENNIFER",
"middle_name": "STAUFFER",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-04",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "STAUFFER",
"middle_name": "RUTH",
"credential": "P.T.",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 4, 2012; 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.