Eastern Kentucky Physical Therapy, Psc
NPI 1104165968 · Physical Therapy Clinic/Center · Prestonsburg, KY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastern Kentucky Physical Therapy, Psc is a Physical Therapy Clinic/Center organization in Prestonsburg, KY (NPI 1104165968).
Provider details
- NPI number
- 1104165968
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gwendolyn Hall, Physical Therapist(606) 889-0838
- License
- 1908 (KY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-02-13
- Last updated
- 2013-02-13
Frequently asked questions
- What is Eastern Kentucky Physical Therapy, Psc's NPI number?
- Eastern Kentucky Physical Therapy, Psc's National Provider Identifier (NPI) is 1104165968, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastern Kentucky Physical Therapy, Psc?
- Eastern Kentucky Physical Therapy, Psc is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Eastern Kentucky Physical Therapy, Psc located?
- Eastern Kentucky Physical Therapy, Psc's practice location on file with NPPES is 637 N Lake Dr, Prestonsburg, KY 41653-1280.
- What is Eastern Kentucky Physical Therapy, Psc's phone number?
- The practice phone number listed in the NPPES registry for Eastern Kentucky Physical Therapy, Psc is (606) 889-0838.
- Does Eastern Kentucky Physical Therapy, Psc accept Medicare?
- Eastern Kentucky Physical Therapy, Psc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eastern Kentucky Physical Therapy, Psc?
- The authorized official listed on Eastern Kentucky Physical Therapy, Psc's NPPES record is Gwendolyn Hall, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastern Kentucky Physical Therapy, Psc's NPI active?
- Yes — Eastern Kentucky Physical Therapy, Psc's NPI (1104165968) is active in the NPPES registry as of the last update on 2013-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.