Active NPI
Jamie L Flynn, PT
- Physical Therapist
- Crestview Hills, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-008186
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT018717 | OH | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oxford Physical Therapy and Rehabilitation | Physical Therapist | Current | 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.