Individual provider Active NPI

John Philip Paszkiewicz, MSPT

  • Physical Therapist
  • Bowling Green, KY
National Provider Identifier
1770651234
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003522 Issued in KY
Practice address
1725 Scottsville Rd
Bowling Green, KY 42104-3349
Phone
(270) 467-9969
Fax
(270) 467-9970
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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 PT003522 KY Primary

Addresses

Primary practice location

1725 Scottsville Rd
Bowling Green, KY 42104-3349

Mailing address

800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 373-1350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000431 KY Practitioner - Physical Therapist in Private Practice 9537342621 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT003522KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy of Ky LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Drayer Physical Therapy Kentucky LLC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients
Total Fitness Connection,PLLC PastSince Nov 1, 2015 Accepting new patients
TFC Physical Therapy, PLLC Past Accepting new patients
Agilitas USA Inc Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1725 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 467-9969

1861 Westen St
#B
Bowling Green, KY 42104
Phone (270) 781-8167

861 Fairview Ave
Ste 102
Bowling Green, KY 42101
Phone (270) 783-8438

10634 Eagle Way
Hopkinsville, KY 42240
Phone (270) 220-0059

1588 Leestown Rd
Ste 120
Lexington, KY 40511
Phone (859) 317-8086

1010 Monarch St
Ste 150
Lexington, KY 40513
Phone (859) 219-0211

544 Conestoga Pkwy
Ste 36
Shepherdsville, KY 40165
Phone (502) 257-7049

200 Codella Dr
Ste B
Winchester, KY 40391
Phone (859) 745-2152

Organizations & group practices 9

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1770651234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 CRESCENT CENTRE DR STE 300",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677285",
            "telephone_number": "615-373-1350",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043349",
            "telephone_number": "270-467-9969",
            "fax_number": "270-467-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASZKIEWICZ",
        "first_name": "JOHN",
        "middle_name": "PHILIP",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT003522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.