Physical Therapy Clinic PSC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PHYSICAL THERAPY CLINIC PSC

Doing business as

Pike County Physical Therapy Clinic, PSC

Practice address

275 Mall Road
Suite 1a
South Williamson, KY 41503-1632

Phone

(606) 237-4477

Fax

(606) 237-4475

NPI assigned

Feb 17, 2006

Last updated

Nov 7, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

PHYSICAL THERAPY CLINIC PSCAs reported in NPPES

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

Authorized official

Name

Mrs. Pamela C. Howard, P.TNPI 1790759710

Title

PT/Ceo

Phone

(606) 237-4477

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PIKE COUNTY PHYSICAL THERAPY CLINIC, PSC Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Physical Therapy Clinic PSC

  dba Pike County Physical Therapy Clinic, PSC

  • Physical Therapy Clinic/Center
  • Pikeville, KY
  • NPI 1083688212

  O20040421001247

  Same enrollment

Part of

Physical Therapy Clinic

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Physical Therapy Clinic PSC

  dba Pike County Physical Therapy Clinic, PSC

  • Physical Therapy Clinic/Center
  • Pikeville, KY
  • NPI 1083688212
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela C. Howard, P.T.

  • Physical Therapist
  • Pikeville, KY
  • NPI 1790759710
  Authorized official Same address or phone
• Schlonda Sue Brown, MSPT

  • Physical Therapist
  • Pikeville, KY
  • NPI 1235650938
  NPD (past)
• Jennifer L Crisp, P.T.

  • Physical Therapist
  • Whitesburg, KY
  • NPI 1780848002
  NPD (past)
• Chad McKinley Thompson, PT

  • Specialist
  • Georgetown, KY
  • NPI 1659312270
  NPD (past)
• Julia A Bentley, P.T.

  • Physical Therapist
  • Rogersville, TN
  • NPI 1982699278
  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1942275607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PHYSICAL THERAPY CLINIC PSC",
            "address_2": "419 TOWN MOUNTAIN RD STE 108",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011632",
            "telephone_number": "606-432-8782",
            "fax_number": "606-432-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MALL ROAD",
            "address_2": "SUITE 1A",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415031632",
            "telephone_number": "606-237-4477",
            "fax_number": "606-237-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY CLINIC PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHYSICAL THERAPY CLINIC PSC",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PT/CEO",
        "authorized_official_telephone_number": "606-237-4477",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000072916",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIKE COUNTY PHYSICAL THERAPY CLINIC, PSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nick a England Jr PSC
• Collette Changie Jonkam Njopang, M.D.
• NS Panwar, MD, PC
• Richard Ojeda, CRNA
• Ashok K Patnaik, MD
• Pikeville Medical Center Inc
• Pikeville Medical Center, Inc.
• PR Vellayan MD PSC
• Prakash G. Mahalingashetty, MD, PSC
• Primary Care Associates of Williamson

• Physical Therapy Clinic/Center in South Williamson, KY
• Providers in South Williamson, KY by specialty
• Physical Therapy Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.