MEDICARE: PT PROS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1144861535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PT PROS, INC.

Provider Business Mailing Address
First Line	:	383 CORBIN CENTER DR
Second Line	:
City	:	CORBIN
State	:	KY
Zip	:	40701-1895
Country	:	US
Telephone Number	:	606-526-2909
Fax Number	:	606-526-2901

Provider Business Practice Location Address
First Line	:	989 GOVERNORS LN STE 375
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40513-1190
Country	:	US
Telephone Number	:	859-402-1220
Fax Number	:	859-402-1245

Authorized Official
Title or Position	:	CEO
Name	:	CONNIE D. HAUSER
Credential	:
Telephone Number	:	606-526-2918

Provider Enumeration Date	:	10/07/2019
Last Update Date	:	06/12/2026

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Directions to “PT PROS, INC. ” Practice Location

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