Organization Active NPI

Fascial Health LLC

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1821658543
Registry record updated Nov 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FASCIAL HEALTH LLC
Practice address
811 Corporate Dr Ste 200
Lexington, KY 40503-5409
Phone
(859) 333-9312
Fax
(844) 945-4321
NPI assigned
Jun 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2023

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

Authorized official

Name
Holly Milligan, PTNPI 1982872446
Title
Owner / PT
Phone
(859) 333-9312

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

811 Corporate Dr Ste 200
Lexington, KY 40503-5409

Mailing address

811 Corporate Dr Ste 200
Lexington, KY 40503-5409
Phone (859) 333-9312

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200519003068 KY Part B Supplier - Clinic/Group Practice 9032540422 Receives reassigned benefits from 3 practitioners
Practice locations: Lexington, KY

National Provider Directory

National Provider Directory

Locations

811 Corporate Dr
Ste 200
Lexington, KY 40503
Phone (859) 279-1955

1084 Wellington Way
Lexington, KY 40513
Phone (502) 316-4523

841 Corporate Dr
Ste 301
Lexington, KY 40503
Phone (859) 333-9312

Practitioners & affiliated clinicians

Practitioners 3

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": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699142400000",
    "number": "1821658543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 CORPORATE DR STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035409",
            "telephone_number": "859-333-9312",
            "fax_number": "844-945-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 CORPORATE DR STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405035409",
            "telephone_number": "859-333-9312",
            "fax_number": "844-945-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASCIAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2023-11-05",
        "certification_date": "2023-11-05",
        "status": "A",
        "authorized_official_last_name": "MILLIGAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER / PT",
        "authorized_official_telephone_number": "859-333-9312",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 5, 2023; 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.