Organization Active NPI

South Central Kentucky Orthopedics

  • Physical Therapist
  • Glasgow, KY
National Provider Identifier
1790115160
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006312 Issued in KY
Legal business name
SOUTH CENTRAL KENTUCKY ORTHOPEDICS
Practice address
106 Columns Plaza Dr
Glasgow, KY 42141
Phone
(270) 651-7146
NPI assigned
Nov 20, 2013
Organization subpart
Yes
Parent organization
REDDY & LESSENBERRY PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Whitney Brooks Smith, DPT
Title
Physical Therapist
Phone
(270) 651-9390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 006312 KY Primary

Addresses

Primary practice location

106 Columns Plaza Dr
Glasgow, KY 42141

Mailing address

106 Columns Plaza Dr
Glasgow, KY 42141-8068
Phone (270) 651-9390

Other identifiers 4

IdentifierTypeStateIssuer
1023430386OtherNPI
1184099103OtherNPI
7100399620MedicaidKY
7100294280MedicaidKY

National Provider Directory

National Provider Directory
Part of
South Central Kentucky Orthopedics

Practitioners & affiliated clinicians

Practitioners 1

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": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1790115160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COLUMNS PLAZA DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421418068",
            "telephone_number": "270-651-9390",
            "fax_number": "270-629-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 COLUMNS PLAZA DR",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "42141",
            "telephone_number": "270-651-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL KENTUCKY ORTHOPEDICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REDDY & LESSENBERRY PSC",
        "enumeration_date": "2013-11-20",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "BROOKS",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "270-651-9390",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023430386",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184099103",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100399620",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100294280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.