NPIMap

Organization Active NPI

Excel Rehabilitation Services Inc.

  • Physical Therapist
  • Hyden, KY
National Provider Identifier
1841412475
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004016 Issued in KY
Legal business name
EXCEL REHABILITATION SERVICES INC.
Practice address
19126 South Hwy 421
Hyden, KY 41749
Phone
(606) 672-4546
Fax
(606) 672-4547
NPI assigned
May 3, 2007
Last updated
Jun 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Ms. Tonya Renee Chadwell, LPT
Title
Liscensed Physical Therapist
Phone
(606) 862-8333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004016 KY Primary

Addresses

Primary practice location

19126 South Hwy 421
Hyden, KY 41749

Mailing address

3104 Pine Top Rd
London, KY 40741
Phone (606) 862-8333

Other identifiers 1

IdentifierTypeStateIssuer
5027801OtherKYMEDICARE ID FOR TONYA CHADWELL LPT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031223000122 KY Part B Supplier - Clinic/Group Practice 4981513363 Receives reassigned benefits from 1 practitioner
Practice locations: Annville, KY; London, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1841412475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 PINE TOP RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "40741",
            "telephone_number": "606-862-8333",
            "fax_number": "606-862-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19126 SOUTH HWY 421",
            "city": "HYDEN",
            "state": "KY",
            "postal_code": "41749",
            "telephone_number": "606-672-4546",
            "fax_number": "606-672-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL REHABILITATION SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "CHADWELL",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "LISCENSED PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "606-862-8333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID FOR TONYA CHADWELL LPT",
            "identifier": "5027801",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyden, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.