Individual provider Active NPI

Elizabeth Anne James, PT, DPT

  • Physical Therapist
  • Winchester, KY
National Provider Identifier
1891431839
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006512 Issued in KY
Practice address
404 Shoppers Dr Ste B
Winchester, KY 40391-1391
Phone
(859) 744-0036
Fax
(859) 744-0041
NPI assigned
May 11, 2022
Last updated
May 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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 006512 KY Primary

Addresses

Primary practice location

404 Shoppers Dr Ste B
Winchester, KY 40391-1391

Mailing address

3041 Polo Club Blvd
Lexington, KY 40509-8451
Phone (606) 782-3283

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SMPortal Select Medical Corporation

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613003128 KY Practitioner - Physical Therapist in Private Practice 2062891575 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006512KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Jun 1, 2022 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Jun 1, 2022 Accepting new patients

Locations

930 Jamestown St
Columbia, KY 42728
Phone (270) 751-8730

404 Shoppers Dr
Winchester, KY 40391
Phone (859) 737-5333

404 Shoppers Dr
Ste B
Winchester, KY 40391
Phone (859) 744-0036

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, 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": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1891431839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 POLO CLUB BLVD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098451",
            "telephone_number": "606-782-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SHOPPERS DR STE B",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403911391",
            "telephone_number": "859-744-0036",
            "fax_number": "859-744-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "006512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SMPortal",
            "affiliation": "Y",
            "affiliationName": "Select Medical Corporation",
            "address_1": "4716 Old Gettysburg Rd",
            "city": "Mechanicsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170554325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.