Organization Active NPI

Maysville Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Maysville, KY
National Provider Identifier
1922303882
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT001912 Issued in KY
Legal business name
MAYSVILLE PHYSICAL THERAPY, LLC
Practice address
1925 Old Main St
Suite 1
Maysville, KY 41056-8984
Phone
(606) 759-4719
NPI assigned
Jan 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Julie Key McKay, P.T.NPI 1891793493
Title
Owner
Phone
(606) 759-4719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT001912 KY Primary

Addresses

Primary practice location

1925 Old Main St
Suite 1
Maysville, KY 41056-8984

Mailing address

1925 Old Main St
Suite 1
Maysville, KY 41056-8984
Phone (606) 759-4719

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110321000003 KY Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1759564388 Receives reassigned benefits from 1 practitioner
Practice locations: Maysville, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1922303882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 OLD MAIN ST",
            "address_2": "SUITE 1",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568984",
            "telephone_number": "606-759-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 OLD MAIN ST",
            "address_2": "SUITE 1",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410568984",
            "telephone_number": "606-759-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYSVILLE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "MCKAY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-759-4719",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KY",
            "license": "PT001912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.