Active NPI
Steven Roy Vanover, PTA
- Physical Therapy Assistant
- London, KY
National Provider Identifier
1770716219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A01560
- Practice address
- 388 Vanover Rd W
London, KY 40744-8978 - Phone
- (606) 599-7936
- Fax
- (606) 864-2797
- NPI assigned
- Sep 1, 2009
- Last updated
- Sep 1, 2009
- Sex
- Male
- 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 Therapy Assistant | 225200000X | A01560 | KY | Primary |
Addresses
Primary practice location
388 Vanover Rd W
London, KY 40744-8978
Mailing address
388 Vanover Rd W
London, KY 40744-8978
Phone (606) 599-7936
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 |
|---|---|---|---|
| A01560 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1770716219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 VANOVER RD W",
"city": "LONDON",
"state": "KY",
"postal_code": "407448978",
"telephone_number": "606-599-7936",
"fax_number": "606-864-2797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 VANOVER RD W",
"city": "LONDON",
"state": "KY",
"postal_code": "407448978",
"telephone_number": "606-599-7936",
"fax_number": "606-864-2797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANOVER",
"first_name": "STEVEN",
"middle_name": "ROY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-01",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A01560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.