Individual provider Active NPI

Kristofer M Kendrick, PT, DPT, ATC

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1891055059
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006434 Issued in KY
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.

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 62 clinicians

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 100Reported as group
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
006434KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Orthopaedics PSC Physical Therapist CurrentSince Feb 7, 2024 Accepting new patients
Piedmont Physical Therapy, Inc Physical Therapist PastSince Sep 3, 2013 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)CodeLicenseStatePrimary
Physical Therapist 225100000X 006434 KY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
006434OtherKYKENTUCKY 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.

Verify at the official NPI Registry.