Active NPI
Kristofer M Kendrick, PT, DPT, ATC
- Physical Therapist
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006434
- Practice address
- 3401 Yorkshire Medical Park # PSC
Lexington, KY 40509-2513 - Phone
- (859) 263-5140
- Fax
- (859) 263-5141
- NPI assigned
- May 22, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1447622394
KY, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Lexington, KY
- NPI 1356772933
-
- Physical Therapist
- Manassas, VA
- NPI 1194968768
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bluegrass Orthopaedics PSC
Practice addresses (Care Compare)
3401 Yorkshire Medical Park
Lexington, KY 40509-2513
Phone (859) 263-5140
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220503002307 | KY | Practitioner - Physical Therapist in Private Practice | 5294983060 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006434 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Orthopaedics PSC | Physical Therapist | Current | Accepting new patients |
| Piedmont Physical Therapy, Inc | Physical Therapist | Past | Accepting new patients |
Locations
101 Windsor Path
Georgetown, KY 40324
Phone (502) 868-6106
3480 Yorkshire Medical Park
Lexington, KY 40509
Phone (859) 303-8803
1760 Harrodsburg Rd
Lexington, KY 40504
3401 Yorkshire Medical Park
Lexington, KY 40509
1868 Plaudit Pl
Lexington, KY 40509
Phone (859) 543-0002
195 Commercial Dr
London, KY 40744
1350 Flemingsburg Rd
Morehead, KY 40351
Phone (606) 462-8016
145 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-2195
111 Cynthia Dr
Ste 139
Nicholasville, KY 40356
2045 Lantern Ridge Dr
Richmond, KY 40475
Phone (859) 293-6133
850 Hail Knob Rd
#B
Somerset, KY 42503
Phone (270) 318-3399
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006434 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3401 Yorkshire Medical Park # PSC
Lexington, KY 40509-2513
Mailing address
3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140
Other practice location 1
3480 Yorkshire Medical Park
Lexington, KY 40509-1886
Phone (859) 263-5140
Other practice location 2
101 Windsor Path
Georgetown, KY 40324-9617
Phone (859) 263-5140
Other practice location 3
1868 Plaudit Pl
Lexington, KY 40509-2429
Phone (859) 263-5140
Other practice location 4
145 Newcomb Ave
Mount Vernon, KY 40456-2728
Phone (859) 263-5140
Other practice location 5
111 Cynthia Dr Ste 139
Nicholasville, KY 40356-8062
Phone (859) 263-5140
Other practice location 6
850 Hail Knob Rd Ste B
Somerset, KY 42503-3418
Phone (859) 263-5140
Other practice location 7
1760 Harrodsburg Rd
Lexington, KY 40504-3602
Phone (859) 263-5140
Other practice location 8
195 Commercial Dr
London, KY 40744-8234
Phone (859) 263-5140
Other practice location 9
1350 Flemingsburg Rd
Morehead, KY 40351-1810
Phone (859) 263-5140
Other practice location 10
2045 Lantern Ridge Dr
Richmond, KY 40475-6010
Phone (859) 263-5140
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006434 | Other | KY | KENTUCKY BOARD OF PT |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2024.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1891055059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 YORKSHIRE MEDICAL PARK",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091886",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 YORKSHIRE MEDICAL PARK # PSC",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405092513",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141"
}
],
"practiceLocations": [
{
"address_1": "3480 Yorkshire Medical Park",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405091886",
"country_code": "US",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Windsor Path",
"address_purpose": "LOCATION",
"city": "Georgetown",
"state": "KY",
"postal_code": "403249617",
"country_code": "US",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1868 Plaudit Pl",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405092429",
"country_code": "US",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "145 Newcomb Ave",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "KY",
"postal_code": "404562728",
"country_code": "US",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Cynthia Dr Ste 139",
"address_purpose": "LOCATION",
"city": "Nicholasville",
"state": "KY",
"postal_code": "403568062",
"country_code": "US",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "850 Hail Knob Rd Ste B",
"address_purpose": "LOCATION",
"city": "Somerset",
"state": "KY",
"postal_code": "425033418",
"country_code": "US",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1760 Harrodsburg Rd",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405043602",
"country_code": "US",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "195 Commercial Dr",
"address_purpose": "LOCATION",
"city": "London",
"state": "KY",
"postal_code": "407448234",
"country_code": "US",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Flemingsburg Rd",
"address_purpose": "LOCATION",
"city": "Morehead",
"state": "KY",
"postal_code": "403511810",
"country_code": "US",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2045 Lantern Ridge Dr",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404756010",
"country_code": "US",
"telephone_number": "859-263-5140",
"fax_number": "859-263-5141",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENDRICK",
"first_name": "KRISTOFER",
"middle_name": "M",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-22",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006434",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KENTUCKY BOARD OF PT",
"identifier": "006434",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.