Healthcare Provider Details

I. General information

NPI: 1376332775
Provider Name (Legal Business Name): WARREN PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 CORPORATE DR STE 202
LEXINGTON KY
40503-5449
US

IV. Provider business mailing address

880 CORPORATE DR STE 202
LEXINGTON KY
40503-5449
US

V. Phone/Fax

Practice location:
  • Phone: 859-219-2233
  • Fax: 859-219-3322
Mailing address:
  • Phone: 859-460-7778
  • Fax: 833-740-4499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LEANNE FIELD
Title or Position: OFFICE MANAGER
Credential:
Phone: 859-460-7778