Individual provider Active NPI

Tonya Renee Estep, PT

  • Physical Therapist
  • London, KY
National Provider Identifier
1952453243
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004016 Issued in KY
Practice address
3104 Pine Top Rd
London, KY 40741-6202
Phone
(606) 862-8333
Fax
(606) 862-8618
NPI assigned
Jan 17, 2007
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 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 004016 KY Primary

Addresses

Primary practice location

3104 Pine Top Rd
London, KY 40741-6202

Mailing address

3104 Pine Top Rd
London, KY 40741-6202
Phone (606) 862-8333

Other identifiers 2

IdentifierTypeStateIssuer
87000741MedicaidKY
320005165OtherKYTAX IDENTIFICATION NUMBER

Other names 1

  • Mrs. Tonya Renee Estep Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080207000117 KY Practitioner - Physical Therapist in Private Practice 9931282464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

69 State Rd
Suite 3444
Annville, KY 40402-8701
Phone (606) 862-8333

87 CVB Dr
London, KY 40741-1096
Phone (606) 862-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004016KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Rehabilitation Services Inc. Physical Therapist CurrentSince Mar 5, 2002 Accepting new patients
American Rehab Allianace, Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1952453243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 PINE TOP RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416202",
            "telephone_number": "606-862-8333",
            "fax_number": "606-862-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 PINE TOP RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407416202",
            "telephone_number": "606-862-8333",
            "fax_number": "606-862-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEP",
        "first_name": "TONYA",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87000741",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "320005165",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "ESTEP",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.