Robert Cecil, LAC,PTA

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC128 Issued in KY

Practice address

3044 Ring Rd
Elizabethtown, KY 42701-7932

Phone

(270) 506-3853

NPI assigned

Mar 21, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Raja Wellness, LLC

  • Acupuncturist
  • Elizabethtown, KY
  • NPI 1336664457
  NPD (past)

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1942731179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SAINT JOHN RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012918",
            "telephone_number": "270-769-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017932",
            "telephone_number": "270-506-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LAC,PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A03453",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "KY",
            "license": "AC128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun E Caudill, KLPC
• Tammy Caudill, APRN
• Cecil & Assoc Eyecare PLLC
• Greta Cecil
• Paul D Cecil
• Center for Arthritis & Osteoporosis
• Center for Healthcare Innovations PSC
• Center for Healthcare Innovations, Inc.
• Center for Orthotic and Prosthetic Care of Kentucky LLC
• Centerwell Health Services USA, LLC

• Acupuncturist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Acupuncturist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.