Active NPI
Kaitlin Elizabeth Mullaney
- Physical Therapist
- Lexington, KY
National Provider Identifier
1770307399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009224
- Practice address
- 1650 Bryan Station Rd Ste 122
Lexington, KY 40505-2139 - Phone
- (859) 293-6133
- NPI assigned
- Nov 11, 2024
- Last updated
- Nov 11, 2024
- 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 | 009224 | KY | Primary |
Addresses
Primary practice location
1650 Bryan Station Rd Ste 122
Lexington, KY 40505-2139
Mailing address
1550 Trent Blvd Apt 1113
Lexington, KY 40515-1914
Phone (502) 299-2112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009224 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky Orthopedic Rehabilitation, LLC | Past | Accepting new patients | |
| Kentucky Orthopedic Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
| Kentucky Orthopedic Rehabilitation LLC | Physical Therapist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba KORT Physical Therapy
- Physical Therapy Clinic/Center
- Lexington, KY
- NPI 1760588990
Physical Therapist
-
dba KORT - Beaumont Physical Therapy
- Physical Therapy Clinic/Center
- Lexington, KY
- NPI 1932100971
Physical Therapist
-
dba KORT Physical Therapy
- Physical Therapy Clinic/Center
- Lexington, KY
- NPI 1750956314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731283200000",
"number": "1770307399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 TRENT BLVD APT 1113",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405151914",
"telephone_number": "502-299-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 BRYAN STATION RD STE 122",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405052139",
"telephone_number": "859-293-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLANEY",
"first_name": "KAITLIN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "009224",
"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 Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.