Individual provider Active NPI

Levi Wiggins

  • Pediatric Physical Therapist
  • Richmond, KY
National Provider Identifier
1922969328
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
009507 Issued in KY
Practice address
2150 Lexington Rd Ste a&B
Richmond, KY 40475-7924
Phone
(859) 353-5445
Fax
(859) 353-5601
NPI assigned
Nov 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 009507 KY Primary
Physical Therapist 225100000X
Neurology Physical Therapist 2251N0400X
Orthopedic Physical Therapist 2251X0800X

Addresses

Primary practice location

2150 Lexington Rd Ste a&B
Richmond, KY 40475-7924

Mailing address

2150 Lexington Rd Ste a&B
Richmond, KY 40475-7924
Phone (859) 353-5445

Other practice location 1

505 Shoppers Dr
Winchester, KY 40391-2808
Phone (859) 353-5445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009507KYMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1922969328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 LEXINGTON RD STE A&B",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757924",
            "telephone_number": "859-353-5445",
            "fax_number": "859-353-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 LEXINGTON RD STE A&B",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404757924",
            "telephone_number": "859-353-5445",
            "fax_number": "859-353-5601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Shoppers Dr",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "KY",
            "postal_code": "403912808",
            "country_code": "US",
            "telephone_number": "859-353-5445",
            "fax_number": "859-385-4573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "LEVI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "KY",
            "license": "009507",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.