Pinnacle Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003788 Issued in KY

Legal business name

PINNACLE PHYSICAL THERAPY INC

Practice address

9204 Taylorsville Rd
Suite 101
Louisville, KY 40299-1787

Phone

(502) 499-5959

Fax

(502) 499-5454

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Lane Brown, MSPTNPI 1295829232

Title

Physical Therapist

Phone

(502) 499-5959

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Lane Brown, MSPT

  • Physical Therapist
  • Louisville, KY
  • NPI 1295829232
  Medicare reassignment Care Compare group NPD Authorized official
• Benjamin Koke, PT

  • Physical Therapist
  • Louisville, KY
  • NPI 1366099947
  Medicare reassignment Care Compare group NPD
• Brian Joel Woodruff, P.T.

  • Physical Therapist
  • Louisville, KY
  • NPI 1184718140
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1770615916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9204 TAYLORSVILLE RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991787",
            "telephone_number": "502-499-5959",
            "fax_number": "502-499-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 TAYLORSVILLE RD",
            "address_2": "SUITE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402991787",
            "telephone_number": "502-499-5959",
            "fax_number": "502-499-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "502-499-5959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003788",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "001785",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI #",
            "identifier": "1295829232",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI #",
            "identifier": "1184718140",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erlan C Pinero, RN
• Camden Ping
• Jennifer Lynn Pinkerton
• Emily Hahn Pinkham
• Olga C Pinkston, M.D.
• Christopher J Pinnick, A.P.S.S.
• Mary Pinotti
• Ann K Pinski, D.P.M.
• Gonzalo Pintado, MD
• Adriana Pinto Bezerra, DDS, MSC, PHD

• Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.