Lux Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

LUX PHYSICAL THERAPY, PLLC

Practice address

3124 Hergott Dr
Edgewood, KY 41017-3379

Phone

(859) 446-2345

NPI assigned

May 25, 2021

Last updated

May 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Marie Kaufman, PTNPI 1134392335

Title

Physical Therapy

Phone

(859) 446-2345

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Marie Kaufman, PHYSICAL THERAPIST

  • Physical Therapist
  • Edgewood, KY
  • NPI 1134392335
  Authorized official Same address or phone

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1790350452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 HERGOTT DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173379",
            "telephone_number": "859-446-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 HERGOTT DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173379",
            "telephone_number": "859-446-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPY",
        "authorized_official_telephone_number": "859-446-2345",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jerome Lubbers, MD
• Vincent M Lubrano, MD
• Bethany D Lucas, M.D.
• Jaclyn Lunsford
• Madison Elizabeth Lusby, PA-C
• Anna Lyons, RBT
• Daniel Lyons
• Tiffany Lyons, RBT
• Kelly Ann Mackessy, DO
• Cecilia Maclae, MS

• Physical Therapy Clinic/Center in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Physical Therapy Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.