Summit Physical Therapy, Pllc

LBN: Summit Physical Therapy, Pllc
Summit Physical Therapy, Pllc is an health care organization with primary practice located at 126 Professional Ave , Winchester KY 40391-1116. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Summit Physical Therapy, Pllc can be contacted via phone (859) 737-3994, or through Goumas, Jason A via phone (859) 737-3994.

Contact Information

Primary practice address
126 Professional Ave Winchester KY 40391-1116
Phone: (859) 737-3994
Fax: (859) 737-3223
Website:
Map and Directions
Authorized official contact:
Name: Goumas, Jason A Physical Therapist (PT)
Phone: (859) 737-3994

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1174578058
LBN Legal business name Summit Physical Therapy, Pllc
DBA Doing business as
Authorized official Goumas, Jason A Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Mar 7th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174578058 NPPES
Kentucky MEDICAID 87900643

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