LEGACY PHYSICAL THERAPY (NPI# 1740810936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740810936 |
| Entity Type | Organization |
| Organization Name | LEGACY PHYSICAL THERAPY |
| Practice Address |
237 E Highway 60 Hardinsburg KY 40143-4892 |
| Practice Telephone | 8592292203 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-04-10 |
| Authorized Official Name | MATTHEW MATTINGLY (OWNER) |
| Authorized Official Telephone | 8592292203 |
| Authorized Official Credential | MPT |
| 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 | BCBS | 1639165210 | 01 |
| KY | 1639165210 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108860 | Legacy Physical Therapy | Clinic/Center | 9299 Goble, Brighton, MI 48116-8700 | 2019-01-16 |
| Street Address |
237 E HIGHWAY 60 |
| City | HARDINSBURG |
| State | KY |
| Zip Code | 40143-4892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134513559 | Alicia Cheryl Henning | Nurse Practitioner | 83 Ballpark Rd, Hardinsburg, KY 40143 | 2015-03-24 |
| 1447539663 | Brian Chad Brill Jr. | Internal Medicine | 207a Fairgrounds Rd, Hardinsburg, KY 40143 | 2011-08-04 |
| 1083811350 | Susan Bacon Baetzel | Physical Therapist | 101 Fairgrounds Rd., Hardinsburg, KY 40143 | 2007-06-29 |
| 1265453658 | Rebecca Driskell-mccoy | Clinic/Center | 122 W Third St, Hardinsburg, KY 40143 | 2006-07-21 |
| 1891713442 | Rebecca Lanora Driskell-mccoy | Dentist | 122 W Third St., Hardinsburg, KY 40143 | 2006-07-18 |
| 1851340848 | Breckinridge County Central Ems Inc | Ambulance | 807 Old Us 60, Hardinsburg, KY 40143 | 2006-05-08 |
| 1265480164 | David Michael Faber | Surgery | 607 Old Highway 60, Hardinsburg, KY 40143 | 2006-05-04 |
| 1538135033 | Meena S Patel | Pediatrics | 203 Fairgrounds Rd, Hardinsburg, KY 40143 | 2006-02-24 |
| 1568912400 | Breckinridge Health Inc | Family Medicine | 107 Old Hwy 60, Hardinsburg, KY 40143 | 2016-10-04 |
| 1457719643 | Ack Healthcare Management LLC | Nurse Practitioner | 83 Ballpark Rd, Hardinsburg, KY 40143 | 2016-02-03 |
| Find all providers in zip 40143 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1962052043 | Prorehab Inc | Clinic/Center | 2625 Nashville Rd Ste 102, Bowling Green, KY 42101-4027 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
| City | HARDINSBURG |
| Zip Code | 40143 |
Please comment or provide details below to improve the information on LEGACY PHYSICAL THERAPY.
| 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.