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NPI 1265261663ActiveIndividual· Physical Therapist· Hardinsburg, KY

Physical Therapist with Legacy Physical Therapy, practicing in Hardinsburg, Kentucky. Medicare paid $15,697 for services to 56 patients in 2024.

Overview

NPI1265261663
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 1, 2024
Last updated in NPPESAug 1, 2024
Certified by providerAug 1, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000XKY009106KY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (KY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients56
Services billed831 across 11 procedure codes
Paid by Medicare$15,697

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

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