NPIMap

Organization Active NPI

Ervin Physical Therapy, PLLC

Doing business as Ervin Physical Therapy

  • Physical Therapist
  • Morganfield, KY
National Provider Identifier
1770105223
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ERVIN PHYSICAL THERAPY, PLLC
Doing business as
Ervin Physical Therapy
Practice address
129 N Morgan Street
Morganfield, KY 42437
Phone
(270) 997-0433
NPI assigned
May 7, 2020
Last updated
Oct 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Isaac Wayne Ervin, DPTNPI 1063034841
Title
Physical Therapist/Owner
Phone
(270) 873-4685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X

Addresses

Primary practice location

129 N Morgan Street
Morganfield, KY 42437

Mailing address

129 N Morgan Street
Morganfield, KY 42437

Other names 1

  • Ervin Physical Therapy Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ervinptot@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200612002287 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7810319282 Receives reassigned benefits from 10 practitioners
Practice locations: Henderson, KY; Morganfield, KY

National Provider Directory

National Provider Directory

Locations

2606 Zion Rd
Ste N
Henderson, KY 42420
Phone (270) 873-4685

129 N Morgan St
Morganfield, KY 42437
Phone (270) 997-0433

257 N Padgett St
Morganfield, KY 42437
Phone (270) 873-4685

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1770105223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N MORGAN STREET",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "42437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N MORGAN STREET",
            "city": "MORGANFIELD",
            "state": "KY",
            "postal_code": "42437",
            "telephone_number": "270-997-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERVIN PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "270-873-4685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ervinptot@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email Account",
            "address_1": "129 N Morgan Street",
            "city": "Morganfield",
            "state": "KY",
            "country_code": "US",
            "postal_code": "42437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ervin Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ervin Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morganfield, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.

Verify at the official NPI Registry.