Individual provider Active NPI

Daniel P Sutton, PT

  • Physical Therapist
  • Georgetown, KY
National Provider Identifier
1891118253
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004998 Issued in KY
Practice address
208 Bevins LN
Suite F
Georgetown, KY 40324-6128
Phone
(502) 863-4242
NPI assigned
Jan 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004998 KY Primary

Addresses

Primary practice location

208 Bevins LN
Suite F
Georgetown, KY 40324-6128

Mailing address

208 Bevins LN
Suite F
Georgetown, KY 40324-6128
Phone (502) 863-4242

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150207000334 KY Practitioner - Physical Therapist in Private Practice 6204151574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Scott County Physical Therapy, LLCGroup PAC ID 3375536147, 3 clinicians

Practice addresses (Care Compare)

208 Bevins LN
Suite F
Georgetown, KY 40324-6129
Phone (502) 863-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004998KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott County Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients

Locations

208 Bevins Ln
Ste F
Georgetown, KY 40324
Phone (502) 863-4242

Organizations & group practices 1

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1891118253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 BEVINS LN",
            "address_2": "SUITE F",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246128",
            "telephone_number": "502-863-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 BEVINS LN",
            "address_2": "SUITE F",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246128",
            "telephone_number": "502-863-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "DANIEL",
        "middle_name": "P",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.