Active NPI
Russell Scott Gregory, PTA
- Physical Therapist
- Manchester, KY
National Provider Identifier
1952495863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- A01679
- Practice address
- 376 Manchester Square
Manchester, KY 40962-9998 - Phone
- (606) 598-7673
- Fax
- (606) 598-7948
- NPI assigned
- Oct 3, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | A01679 | KY | Primary |
Addresses
Primary practice location
376 Manchester Square
Manchester, KY 40962-9998
Mailing address
317 Tomcat Trail
London, KY 40741
Phone (606) 862-4027
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
| License | State | Type | Specialty |
|---|---|---|---|
| A01679 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952495863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 TOMCAT TRAIL",
"city": "LONDON",
"state": "KY",
"postal_code": "40741",
"telephone_number": "606-862-4027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 MANCHESTER SQUARE",
"city": "MANCHESTER",
"state": "KY",
"postal_code": "409629998",
"telephone_number": "606-598-7673",
"fax_number": "606-598-7948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "RUSSELL",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "A01679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, KY
- Grace Community Health Center Inc (Paces Creek Elementary School Based Clinic)
- Grace Community Health Center, Inc.
- Grace Health Pharmacy-Manchester
- Daniel K Gray, RPH
- Kelly Gray
- Carrie Elizabeth Grierson, PTA
- Whitney Dawn Griffin, B.S, M.A
- Natalie Nicole Gross, APRN, FNP-C
- Giriraj Gupta, M.D.
- H & N Drug Inc (H and N Drug Inc)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.