Individual provider Active NPI

Spencer David Cowen, PT, DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1831763325
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008248 Issued in KY
Practice address
1650 Bryan Station Rd
Lexington, KY 40505-2138
Phone
(859) 293-6133
NPI assigned
May 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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 008248 KY Primary

Addresses

Primary practice location

1650 Bryan Station Rd
Lexington, KY 40505-2138

Mailing address

200 Grace LN
Nicholasville, KY 40356-9098
Phone (859) 967-7018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220927002887 KY Practitioner - Physical Therapist in Private Practice 5890198964 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Stability, LLC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Aug 7, 2022 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Aug 7, 2022 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Aug 7, 2022 Accepting new patients

Locations

550 Pharr Rd NE
Ste 550
Atlanta, GA 30305
Phone (404) 382-8702

3280 Peachtree Rd NE
Ste 110B
Atlanta, GA 30305
Phone (404) 382-8702

930 Jamestown St
Columbia, KY 42728
Phone (270) 751-8730

1212 Market St
Lagrange, KY 40031
Phone (502) 225-9981

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

102 Williams Rd
Nicholasville, KY 40356
Phone (859) 867-0111

235 Boggs Ln
Ste 9
Richmond, KY 40475
Phone (859) 972-8630

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1831763325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GRACE LN",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403569098",
            "telephone_number": "859-967-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 BRYAN STATION RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405052138",
            "telephone_number": "859-293-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWEN",
        "first_name": "SPENCER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-18",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008248",
            "primary": true
        }
    ],
    "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 Aug 31, 2022; 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.