Individual provider Active NPI

Steven A. Lagermann, MSPT, CSCS

  • Physical Therapist
  • Bowling Green, KY
National Provider Identifier
1902070394
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003263 Issued in KY
Practice address
165 Natchez Trace Ave Ste 200
Bowling Green, KY 42103-7947
Phone
(270) 796-4698
Fax
(270) 782-3274
NPI assigned
Apr 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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 003263 KY Primary

Addresses

Primary practice location

165 Natchez Trace Ave Ste 200
Bowling Green, KY 42103-7947

Mailing address

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 796-4698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080610000011 KY Practitioner - Physical Therapist in Private Practice 1355411869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graves Gilbert Clinic PLLCGroup PAC ID 4082511167, 207 clinicians

Practice addresses (Care Compare)

165 Natchez Trace Ave
Bowling Green, KY 42103-7940
Phone (270) 782-7800

201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111

509 S L Rogers Wells Blvd
Suite C
Glasgow, KY 42141-1044
Phone (270) 261-5065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003263KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Graves Gilbert Clinic PLLC CurrentSince Feb 11, 2019 Accepting new patients
Graves Gilbert Clinic PLLC Physical Therapist CurrentSince Feb 11, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Sep 1, 2021 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Sep 1, 2021 Accepting new patients
Total Fitness Connection,PLLC PastSince Nov 1, 2015 Accepting new patients

Locations

165 Natchez Trace Ave
Ste 200
Bowling Green, KY 42103
Phone (270) 782-7800

201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299
Phone (502) 267-1480

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1902070394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK ST",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011742",
            "telephone_number": "270-796-4698",
            "fax_number": "270-782-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 NATCHEZ TRACE AVE STE 200",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421037947",
            "telephone_number": "270-796-4698",
            "fax_number": "270-782-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGERMANN",
        "first_name": "STEVEN",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MSPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-16",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "003263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.