Premier Physical Therapy NV, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004193 Issued in KY

Legal business name

PREMIER PHYSICAL THERAPY NV, LLC

Practice address

203 Kentucky Ave
Kevil, KY 42053-8976

Phone

(270) 462-8252

Fax

(270) 462-8253

NPI assigned

May 6, 2010

Last updated

Dec 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Charles Baldwin, DPTNPI 1760580542

Title

Physical Therapist

Phone

(615) 308-6830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

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.

• Patrick Charles Baldwin, PT

  • Physical Therapist
  • Kevil, KY
  • NPI 1760580542
  Medicare reassignment NPD Authorized official
• Alexander J Grace

  • Physical Therapy Assistant
  • Kevil, KY
  • NPI 1144196049
  NPD
• Kelsie Blanks, PTA

  • Physical Therapy Assistant
  • Kevil, KY
  • NPI 1730522137
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1851619498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "KEVIL",
            "state": "KY",
            "postal_code": "420530313",
            "telephone_number": "270-462-8252",
            "fax_number": "270-462-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 KENTUCKY AVE",
            "city": "KEVIL",
            "state": "KY",
            "postal_code": "420538976",
            "telephone_number": "270-462-8252",
            "fax_number": "270-462-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PHYSICAL THERAPY NV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "615-308-6830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Chaim Lasoski, PA-C
• Gerren Keith Lawson
• Lifeline Recovery Center, Inc.
• Meddings Mobile Radiographs
• Premier Physical Therapy
• Ashley Pyles
• Christie Joann Thompson
• Kristan Lee Underwood, RN
• Violet Weaver, SLP

• Physical Therapist in Kevil, KY
• Providers in Kevil, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.