Individual provider Active NPI

Jamie L Flynn, PT

  • Physical Therapist
  • Crestview Hills, KY
National Provider Identifier
1841899325
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-008186 Issued in KY
Practice address
2845 Chancellor Dr
Crestview Hills, KY 41017-3418
Phone
(859) 331-2233
Fax
(859) 331-2266
NPI assigned
Oct 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X PT018717 OH
Physical Therapist 225100000X PT-008186 KY Primary

Addresses

Primary practice location

2845 Chancellor Dr
Crestview Hills, KY 41017-3418

Mailing address

7567 Central Parke Blvd Ste a
Mason, OH 45040-6855
Phone (513) 701-6100

Other practice location 1

1149 Stone Dr Ste 500
Harrison, OH 45030-2728
Phone (513) 367-9299

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210210001186 KY Practitioner - Physical Therapist in Private Practice 5799196127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

2900 Chancellor Dr
Crestview Hills, KY 41017-5427
Phone (859) 331-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT018717OHMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oxford Physical Therapy and Rehabilitation Physical Therapist CurrentSince Oct 28, 2020 Accepting new patients

Locations

2900 Chancellor Dr
Ste 101
Crestview Hills, KY 41017
Phone (859) 331-2233

2900 Chancellor Dr
Crestview Hills, KY 41017
Phone (859) 341-0288

1814 Declaration Dr
Independence, KY 41051
Phone (859) 356-4600

7567 Central Parke Blvd
Mason, OH 45040
Phone (513) 701-6100

7567 Central Parke Blvd
Ste A
Mason, OH 45040

Organizations & group practices 1

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": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1841899325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7567 CENTRAL PARKE BLVD STE A",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406855",
            "telephone_number": "513-701-6100",
            "fax_number": "513-701-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 CHANCELLOR DR",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173418",
            "telephone_number": "859-331-2233",
            "fax_number": "859-331-2266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1149 Stone Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "OH",
            "postal_code": "450302728",
            "country_code": "US",
            "telephone_number": "513-367-9299",
            "fax_number": "513-367-1704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "OH",
            "license": "PT018717",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT-008186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.