Cumberland Foot and Ankle Centers
Organization Active NPI Physical Therapist · Somerset, KY
NPI 1831610138 · NPPES record last updated Oct 28, 2019
Key facts
- NPI
- 1831610138
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- CUMBERLAND FOOT AND ANKLE CENTERS
- Practice address
- 115 Tradepark Dr Ste a
Somerset, KY 42503-3428 - Phone
- (606) 678-5708
- Fax
- (606) 679-1791
- NPI assigned
- Jun 28, 2017
- Organization subpart
- No
Authorized official
- Name
- Jonathan E Moore, DPM
- Title
- Associate Partner/Podiatrist
- Phone
- (606) 679-2773
Other NPIs on the same Medicare enrollment 14
Corporate family (same tax ID) 12
Practitioners 1
-
Crystal Hardy, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040322000214 | KY | Part B Supplier - Clinic/Group Practice | 4385535319 |
Receives reassigned benefits from 24 practitioners 14 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bowling Green, KY; Somerset, KY; Russell Springs, KY; Richmond, KY; Mount Vernon, KY; Monticello, KY; Manchester, KY; London, KY… |
National Provider Directory
- Tax ID family
- Cumberland Foot and Ankle Centers
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Foot & Ankle Surgery Podiatrist |
213ES0103X | |||
| Physical Therapist |
225100000X | Yes | ||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
115 Tradepark Dr Ste a
Somerset, KY 42503-3428
Mailing address
117 Tradepark Dr Ste B
Somerset, KY 42503-3428
Phone (606) 679-2773
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100207030 | Medicaid | KY |
Other names
- Cumberland Physicial Therapy and Rehabilitation
Other providers in Somerset, KY
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Foot & Ankle Centers
- Cumberland Foot and Ankle Centers
- Cumberland Foot and Ankle Centers
- Cumberland Gastroenterology, P.S.C.
- Cumberland Gastroenterology, PSC
- Cumberland Lung & Sleep Specialists, PSC.
- Cumberland Medical Laboratories Inc
- Cumberland Nephrology
All providers in Somerset, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.