Individual provider Active NPI

Joni Flaherty, PT

  • Physical Therapist
  • Owensboro, KY
National Provider Identifier
1871602623
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002305 Issued in KY
Practice address
605 Park Plaza Dr
Owensboro, KY 42301-5485
Phone
(270) 478-4366
Fax
(270) 478-4367
NPI assigned
Aug 29, 2006
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Physical Therapist 225100000X 002305 KY Primary
Physical Therapist 225100000X 05010231A IN

Addresses

Primary practice location

605 Park Plaza Dr
Owensboro, KY 42301-5485

Mailing address

605 Park Plaza Dr
Owensboro, KY 42301-5485
Phone (270) 478-4366

Other identifiers 1

IdentifierTypeStateIssuer
87001780MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000864 KY Practitioner - Physical Therapist in Private Practice 7214908219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joni Flaherty Physical Therapy, LLCGroup PAC ID 1951568708, 3 clinicians

Practice addresses (Care Compare)

605 Park Plaza Dr
Owensboro, KY 42301-5485
Phone (270) 478-4366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05010231AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Joni Flaherty Physical Therapy, LLC Specialist CurrentSince Dec 1, 2011 Accepting new patients
Wittman Family Chiropractic LLC Physical Therapist Past Accepting new patients

Locations

605 Park Plaza Dr
Owensboro, KY 42301
Phone (270) 478-4366

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1871602623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PARK PLAZA DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423015485",
            "telephone_number": "270-478-4366",
            "fax_number": "270-478-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 PARK PLAZA DR",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423015485",
            "telephone_number": "270-478-4366",
            "fax_number": "270-478-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "JONI",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "002305",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010231A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87001780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

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