Sumner Physical Therapy
Early Intervention Provider Agency in Sassafras, KY. Organization (NPI-2).
NPI number1205286804
StatusActive
Last updated in NPPESJun 15, 2016
Details
- NPI
- 1205286804
- Entity type
- Organization (NPI-2)
- Legal business name
- Sumner Physical Therapy
- Organization subpart
- No
- Enumeration date
- Jun 15, 2016
- Last updated
- Jun 15, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | KY | Yes |
Practice location
114 Rowdy HolwSassafras, KY 41759-8979
Phone 606-312-2637 · Fax 606-886-0669
Mailing address
114 Rowdy HolwSassafras, KY 41759-8979
Authorized official
Heather Leant Sumner
Physical Therapist
6063122637
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