Athletico Physical Therapy - Medicare Primary Care in Lexington, KY

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Athletico Physical Therapy is a medicare enrolled primary clinic (Clinic/center) in Lexington, Kentucky. The current practice location for Athletico Physical Therapy is 630 Euclid Ave Ste 140, Lexington, Kentucky. For appointments, you can reach them via phone at (859) 303-9980. The mailing address for Athletico Physical Therapy is 2122 York Rd Ste 300, Oak Brook, Illinois and phone number is (630) 575-1980.

Athletico Physical Therapy is licensed to practice in NU (license number ). The clinic also participates in the medicare program and its NPI number is 1588339402. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (859) 303-9980.

Contact Information

Athletico Physical Therapy
630 Euclid Ave Ste 140
Lexington
KY 40502-1997
(859) 303-9980
(859) 303-9830

Map and Direction


Primary Care Clinic Profile

Full NameAthletico Physical Therapy
SpecialityClinic/Center
Location630 Euclid Ave Ste 140, Lexington, Kentucky
Authorized Official Name and PositionTasheda Broughton (MANAGER, CREDENTIALING)
Authorized Official Contact2522483313
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Athletico Physical Therapy
2122 York Rd Ste 300
Oak Brook
IL 60523-1925

Ph: (630) 575-1980		Athletico Physical Therapy
630 Euclid Ave Ste 140
Lexington
KY 40502-1997

Ph: (859) 303-9980

NPI Details:

NPI Number1588339402
Provider Enumeration Date08/12/2021
Last Update Date12/03/2024
Certification Date12/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4789602681
Medicare Enrollment IDO20220111002332

Medical Identifiers

Medical identifiers for Athletico Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588339402NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (NU)Primary
225100000XPhysical Therapist (NU)Secondary
225X00000XOccupational Therapist (NU)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Athletico Physical Therapy acts as a billing entity for following providers:
Provider NameLauran Joy Dempsey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1922239326
PECOS PAC ID: 8426276783
Enrollment ID: I20140827002727
Provider NameKathrine Wilson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588029755
PECOS PAC ID: 7618279795
Enrollment ID: I20160106001554
Provider NameJordan Hartman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1780113373
PECOS PAC ID: 7618246877
Enrollment ID: I20170630001190
Provider NameElizabeth Levay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952839094
PECOS PAC ID: 8022387281
Enrollment ID: I20170630001377
Provider NameRachelle M Sweeney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679091250
PECOS PAC ID: 7416221924
Enrollment ID: I20170921003882
Provider NameLydia Martin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942867403
PECOS PAC ID: 6305170358
Enrollment ID: I20190625000948
Provider NameCatherine Michelle Smith
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1184236655
PECOS PAC ID: 1658790852
Enrollment ID: I20201007000530
Provider NameThomas Mitchell Wiseman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073115507
PECOS PAC ID: 8921419037
Enrollment ID: I20201120002197
Provider NameGabrielle Fahrenholz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093397440
PECOS PAC ID: 6507265543
Enrollment ID: I20210525001836
Provider NameNatalie Smith Vanarsdall
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1285125005
PECOS PAC ID: 5799035598
Enrollment ID: I20210525003343
Provider NameRyne Mcmullen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487133906
PECOS PAC ID: 7618226135
Enrollment ID: I20220321001489
Provider NameCameron D Richey
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134721871
PECOS PAC ID: 5395124366
Enrollment ID: I20220622000627
Provider NameJonathan W Carman
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689386054
PECOS PAC ID: 9638541253
Enrollment ID: I20230208001556
Provider NameCamilla Koerber
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1043299241
PECOS PAC ID: 5698661049
Enrollment ID: I20230523002969
Provider NameJason Hinson
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1780994756
PECOS PAC ID: 2769817303
Enrollment ID: I20230524001508
Provider NameAmy Ruth Lovejoy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1487131405
PECOS PAC ID: 8527403674
Enrollment ID: I20240228001541
Provider NameBrittany Esteves
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700498508
PECOS PAC ID: 0446678940
Enrollment ID: I20240814002436
Provider NameStefan Thornberry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104592187
PECOS PAC ID: 0042665523
Enrollment ID: I20251022002285

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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