Individual provider Active NPI

Jennifer Lynn Ayotte, PHYSICAL THERAPIST

  • Physical Therapist
  • Radcliff, KY
National Provider Identifier
1811005572
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008080 Issued in KY
Practice address
111 N Woodland Dr
Radcliff, KY 40160-2678
Phone
(270) 351-3511
NPI assigned
Aug 25, 2006
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 008080 KY Primary

Addresses

Primary practice location

111 N Woodland Dr
Radcliff, KY 40160-2678

Mailing address

111 N Woodland Dr
Radcliff, KY 40160-2678
Phone (502) 709-0641

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210304002308 KY Practitioner - Physical Therapist in Private Practice 1951403989 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

611 Knox Blvd
Suite B
Radcliff, KY 40160-1514
Phone (270) 823-5669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008080KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Medical Associates Inc CurrentSince Apr 1, 2021 Accepting new patients
Rehab Resource Current Accepting new patients
Knox Physical Therapy Specialists PLLC Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients
Rehab Resource Inc Physical Therapist Current Accepting new patients
Baptist Health Medical Group Inc CurrentSince Apr 1, 2021 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist Past Accepting new patients

Locations

2400 Eastpoint Pkwy
Ste 120
Louisville, KY 40223
Phone (502) 253-6689

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

111 N Woodland Dr
Radcliff, KY 40160
Phone (270) 351-3511

111 N Woodland Dr
Ste C
Radcliff, KY 40160
Phone (270) 351-3511

611 Knox Blvd
Ste B
Radcliff, KY 40160
Phone (270) 823-5669

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1811005572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WOODLAND DR",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602678",
            "telephone_number": "502-709-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WOODLAND DR",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401602678",
            "telephone_number": "270-351-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYOTTE",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Radcliff, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.