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NPI Code Detail

MEDICARE: KENTUCKY PHYSICAL THERAPY SERVICES OF LEXINGTON LLC

MEDICARE: KENTUCKY PHYSICAL THERAPY SERVICES OF LEXINGTON LLC
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
1235Z00000XSpeech-Language Pathologist
2225X00000XOccupational Therapist
3225100000XPhysical Therapist

General Provider Information

NPI Number : 1770358947
Entity Type Code : Organization
Provider Name (Legal Business Name) : KENTUCKY PHYSICAL THERAPY SERVICES OF LEXINGTON LLC
Provider Business Mailing Address
First Line : PO BOX 51266
Second Line :
City : LAFAYETTE
State : LA
Zip : 70505-1266
Country : US
Telephone Number : 337-233-1307
Fax Number : 337-443-4154
Provider Business Practice Location Address
First Line : 1005 TANBARK RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40515-1898
Country : US
Telephone Number : 859-544-5282
Fax Number : 859-963-1292
Authorized Official
Title or Position : PRESIDENT
Name : JOSHUA L PROFFITT
Credential :
Telephone Number : 337-233-1307
Provider Enumeration Date : 11/17/2023
Last Update Date : 01/30/2026

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Directions to “KENTUCKY PHYSICAL THERAPY SERVICES OF LEXINGTON LLC ” Practice Location

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