Organization Active NPI

Primetime Physical Therapy

  • Early Intervention Provider Agency
  • Millstone, KY
National Provider Identifier
1821446527
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
004507 Issued in KY
Legal business name
PRIMETIME PHYSICAL THERAPY
Practice address
134 Meadow FRK
Millstone, KY 41838-9067
Phone
(606) 821-5300
Fax
(606) 855-4884
NPI assigned
Jun 3, 2016
Last updated
Jun 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Authorized official

Name
Megan Leigh Jones, P.T.
Title
Administrator
Phone
(606) 821-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 004507 KY Primary

Addresses

Primary practice location

134 Meadow FRK
Millstone, KY 41838-9067

Mailing address

134 Meadow FRK
Millstone, KY 41838-9067
Phone (606) 821-5300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466121600000",
    "number": "1821446527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MEADOW FRK",
            "city": "MILLSTONE",
            "state": "KY",
            "postal_code": "418389067",
            "telephone_number": "606-821-5300",
            "fax_number": "606-855-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MEADOW FRK",
            "city": "MILLSTONE",
            "state": "KY",
            "postal_code": "418389067",
            "telephone_number": "606-821-5300",
            "fax_number": "606-855-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMETIME PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "606-821-5300",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "004507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millstone, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2016; 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.