NPIMap

Organization Active NPI

BBN Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Lexington, KY
National Provider Identifier
1770955882
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
006708 Issued in KY
Legal business name
BBN PHYSICAL THERAPY, INC
Practice address
162 Old Todds Rd
Unit 260
Lexington, KY 40509-1336
Phone
(859) 654-0119
Fax
(859) 652-3903
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Authorized official

Name
Kristopher Wayne Winders, PTNPI 1659306678
Title
President
Phone
(843) 991-8333

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 006708 KY Primary

Addresses

Primary practice location

162 Old Todds Rd
Unit 260
Lexington, KY 40509-1336

Mailing address

818 Montclair Dr
Lexington, KY 40502-2263
Phone (859) 654-0119

Other names 1

  • BBN Physical Therapy, Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160218000475 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436454170 Receives reassigned benefits from 4 practitioners
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

278 Southland Dr
Ste 110
Lexington, KY 40503
Phone (859) 523-5902

162 Old Todds Rd
Ste 260
Lexington, KY 40509
Phone (859) 654-0119

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1770955882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 MONTCLAIR DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405022263",
            "telephone_number": "859-654-0119",
            "fax_number": "859-652-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 OLD TODDS RD",
            "address_2": "UNIT 260",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091336",
            "telephone_number": "859-654-0119",
            "fax_number": "859-652-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBN PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "WINDERS",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-991-8333",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": "006708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BBN Physical Therapy, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 10, 2016; 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.