NPIMap

Organization Active NPI

Great Outcomes Physical Therapy LLC

  • Early Intervention Provider Agency
  • Florence, KY
National Provider Identifier
1851693162
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
001647 Issued in KY
Legal business name
GREAT OUTCOMES PHYSICAL THERAPY LLC
Practice address
40 Utz Dr
Florence, KY 41042-1539
Phone
(859) 912-1081
Fax
(859) 305-1668
NPI assigned
Nov 19, 2010
Last updated
Apr 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Lisa WeaverNPI 1063684272
Title
Owner
Phone
(859) 912-1081

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 001647 KY Primary

Addresses

Primary practice location

40 Utz Dr
Florence, KY 41042-1539

Mailing address

40 Utz Dr
Florence, KY 41042-1539
Phone (859) 912-1081

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1851693162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 UTZ DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421539",
            "telephone_number": "859-912-1081",
            "fax_number": "859-305-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 UTZ DR",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421539",
            "telephone_number": "859-912-1081",
            "fax_number": "859-305-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT OUTCOMES PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-912-1081"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "001647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.