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General NPI Number Information
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NPI Number | 1235633454
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Entity Type | Organization
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Legal Business Name | APEX PHYSICAL THERAPY AND SPORTS PERFORMANCE, LLC
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 209 KNOX ST
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City | BARBOURVILLE
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State | KY
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Zip | 40906-1427
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Country | US
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Telephone | 606-499-6708
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Fax |
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Provider Business Mailing Address
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Address Line | 209 KNOX ST
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City | BARBOURVILLE
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State | KY
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Zip | 40906-1427
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Country | US
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Telephone | 606-546-6907
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Fax | 606-546-6910
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Authorized Official
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Title or Position | OWNER
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Name | DR. JACOB REED SCALF
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Credential | PT, DPT, ATC
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Telephone | 606-546-6907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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