NPIMap

Organization Active NPI

Pennyrile Physical Therapy

  • Physical Therapist
  • Hopkinsville, KY
National Provider Identifier
1861734840
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PENNYRILE PHYSICAL THERAPY
Practice address
101 Forbes Dr
Hopkinsville, KY 42240-7200
Phone
(270) 889-9996
Fax
(270) 889-9993
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Mrs. Ketki Prakash Shah, P.T.NPI 1750376711
Title
Owner & Manager
Phone
(270) 889-9996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

101 Forbes Dr
Hopkinsville, KY 42240-7200

Mailing address

101 Forbes Dr
Hopkinsville, KY 42240-7200
Phone (270) 889-9996

National Provider Directory

National Provider Directory

Locations

101 Forbes Dr
Hopkinsville, KY 42240
Phone (270) 889-9996

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1861734840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FORBES DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422407200",
            "telephone_number": "270-889-9996",
            "fax_number": "270-889-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FORBES DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422407200",
            "telephone_number": "270-889-9996",
            "fax_number": "270-889-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNYRILE PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KETKI",
        "authorized_official_middle_name": "PRAKASH",
        "authorized_official_title_or_position": "OWNER & MANAGER",
        "authorized_official_telephone_number": "270-889-9996",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.