ELIZABETHTOWN PHYSICAL THERAPY LLC NPI 1790039667

NPI Information

NPI: 1790039667
Provider Name: ELIZABETHTOWN PHYSICAL THERAPY, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
101 N EAGLE CREEK DR STE 110
LEXINGTON, KY
ZIP 40509
Phone: (859) 294-8320
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ELIZABETHTOWN PHYSICAL THERAPY, LLC is a rehabilitation clinic center in Lexington, KY. ELIZABETHTOWN PHYSICAL THERAPY, LLC NPI is 1790039667. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

101 N EAGLE CREEK DR STE 110
LEXINGTON, KY
ZIP 40509-806
Phone: (859) 294-8320
Fax: (859) 299-3508

The provider's authorized official is Michael E. Tarvin .
The authorized official title is Vice President and has the following contact phone number (717) 972-1100.

The enumeration date for this NPI number is 10/31/2012 and was last updated on 3/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	225100000X	Physical Therapist		No
2	2251H1200X	Physical Therapist	Hand	No
3	2251X0800X	Physical Therapist	Orthopedic	No
4	261QR0400X	Clinic/Center	Rehabilitation	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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