CORE PHYSICAL THERAPY LLC (NPI# 1104396449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104396449 |
| Entity Type | Organization |
| Organization Name | CORE PHYSICAL THERAPY LLC |
| Practice Address |
127 Alben Barkley Dr Ste C Paducah KY 42001-4402 |
| Practice Telephone | 2709080294 |
| Practice Fax Number | 2709080296 |
| Mailing Telephone | 2709080294 |
| Mailing Fax Number | 2709080296 |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |
| Authorized Official Name | JEREMY WOODWARD (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 8598067218 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | PHYSICAL THERAPIST LICENSE NUMBER | 005283 | 01 |
| NPI | 1942462403 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538707260 | Core Physical Therapy LLC | Clinic/Center | 3430 S Ocean Dr, Hollywood, FL 33019-2803 | 2019-12-12 |
| 1073086914 | Core Physical Therapy LLC | Clinic/Center | 415 E Cook Rd Ste 600, Fort Wayne, IN 46825-3657 | 2019-01-03 |
| 1689177222 | Core Physical Therapy LLC | Physical Therapist | 9347 Founders St Ste A, Fort Mill, SC 29708-6417 | 2018-03-09 |
| 1356798565 | Core Physical Therapy LLC | Clinic/Center | 3007 Wakefield Dr, Blacksburg, VA 24060-8186 | 2016-05-17 |
| 1962805622 | Core Physical Therapy LLC | Clinic/Center | 443 Ne Knott St, Portland, OR 97212-3108 | 2014-10-08 |
| 1467753913 | Core Physical Therapy LLC | Clinic/Center | 4705 W Urbana St, Broken Arrow, OK 74012-5998 | 2010-11-14 |
| 1063569358 | Core Physical Therapy LLC | Physical Therapist | 14540 John Marshall Hwy, Gainesville, VA 20155-1691 | 2007-01-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Core Physical Therapy LLC | 3048 Renaissance Parkway, Jamestown, NC 27282-8752 |
| Street Address |
127 ALBEN BARKLEY DR STE C |
| City | PADUCAH |
| State | KY |
| Zip Code | 42001-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811512957 | Kelsey Brooks Powell | Dentist | 467 Jordan Drive, Suite A, Paducah, KY 42001 | 2020-06-15 |
| 1689236473 | Heath Bryan Coleman Dds of Kentucky Pllc | Dentist | 467 Jordan Dr, Ste 105, Paducah, KY 42001 | 2019-07-02 |
| 1477079333 | Ellen Louise Erwin | Speech-Language Pathologist | 5050b Village Square Drive, Paducah, KY 42001 | 2017-08-22 |
| 1225571391 | Jackie Powers | Counselor | 725 Broadway, Paducah, KY 42001 | 2016-11-22 |
| 1730544388 | Jackie Doublin | Counselor | 4625 Falconcrest Dr., Suite A, Paducah, KY 42001 | 2015-12-28 |
| 1861876997 | Adio Chiropractic Inc | Chiropractor | 2405 Lone Oak Rd, Suite B, Paducah, KY 42001 | 2015-07-18 |
| 1134530546 | Katherine Williamson | Obstetrics & Gynecology | 3927 Primrose Place, Paducah, KY 42001 | 2014-05-20 |
| 1679991061 | Kimberly Faith Wiggins | Social Worker | 425 Broadawy, Paducah, KY 42001 | 2014-04-02 |
| 1013251131 | Rxk Pharmacy | Pharmacy | 3526 Park Plaza Road, Paducah, KY 42001 | 2012-11-15 |
| 1134480098 | William Devin Hinson | Chiropractor | 2405 Lone Oak Road, Suite B, Paducah, KY 42001 | 2012-06-06 |
| Find all providers in zip 42001 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063816940 | Atlas Physical Therapy LLC | Clinic/Center | 100 Kiana Ct Apt A, Paducah, KY 42001-6767 | 2014-10-21 |
| 1982685814 | Rehab Associates Psc | Clinic/Center | 220 Berger Rd, Paducah, KY 42003-4522 | 2005-11-08 |
| 1275539967 | Biokinetics, Inc | Clinic/Center | 2345 New Holt Rd, Paducah, KY 42001-7404 | 2005-06-27 |
| 1518330497 | Atlas Physical Therapy | Clinic/Center | 100 Kiana Ct Apt A, Paducah, KY 42001-6767 | 2015-11-02 |
| 1225361587 | Studio E LLC | Clinic/Center | 415 N 7th St, Paducah, KY 42001-1021 | 2009-09-17 |
| 1922250836 | Restoration Physical Therapy LLC | Clinic/Center | 2345 New Holt Rd, Paducah, KY 42001-7404 | 2008-10-22 |
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|---|---|---|---|---|
| 1336755354 | Thrive Therapies Pllc | Clinic/Center | 1701 Nicholasville Rd Ste 200, Lexington, KY 40503-1459 | 2020-09-16 |
| 1134743396 | The Female Athlete Physio, LLC | Clinic/Center | 3705 Grandview Ave, Louisville, KY 40207-3711 | 2020-06-03 |
| 1578185039 | Hope & Horses Rehabilitation LLC | Clinic/Center | 3348 Howell Drennen Rd, Mt Sterling, KY 40353-9112 | 2020-05-07 |
| 1477174977 | Morgan Cimala Pt Pllc | Clinic/Center | 512 Natures Pointe Dr, Somerset, KY 42503-6259 | 2020-05-06 |
| 1649808114 | Confluent Health LLC | Clinic/Center | 175 S English Station Rd Ste 218, Louisville, KY 40245-4199 | 2020-03-31 |
| 1023642485 | Dunn Physical Therapy, Pllc | Clinic/Center | 9506 Norton Commons Blvd, Prospect, KY 40059-7520 | 2020-02-25 |
| 1346871571 | Inspire Physical Therapy, LLC | Clinic/Center | 14901 Forest Oaks Dr, Louisville, KY 40245-6509 | 2020-01-27 |
| 1740810936 | Legacy Physical Therapy | Clinic/Center | 237 E Highway 60, Hardinsburg, KY 40143-4892 | 2020-01-16 |
| 1205470770 | Pain and Performance Solutions LLC | Clinic/Center | 102 Daventry Ln Ste 5, Louisville, KY 40223-2869 | 2019-10-29 |
| 1316588742 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 6129 Airport Hotels Blvd, Louisville, KY 40213-3288 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.