Jeanelle H. Porter is a Sports in Lexington, Kentucky. Jeanelle H. Porter practices all healthcare services and medical treatments related to Sports. The NPI Number for Jeanelle H. Porter is 1609948868. The last update date is 2020-12-08.
Jeanelle H. Porter's current location address is 100 N Eagle Creek Dr, Lexington, Kentucky. You can contact this provider via phone number 8592585073 and fax number 8592585074. The mailing address for Jeanelle H. Porter is 100 N Eagle Creek Dr, Lexington, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeanelle H. Porter |
|---|---|
| Address | 100 N Eagle Creek Dr, Lexington, Kentucky |
| Phone Number | 8592585073 |
| Fax Number | 8592585074 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1609948868 |
|---|---|
| Provider Enumeration Date | 2006-11-14 |
| Last Updated Date | 2020-12-08 |
Provider Mailing Address Detail
| Address | 100 N Eagle Creek Dr |
|---|---|
| City | Lexington |
| State | Kentucky (KY) |
| Post Code | 405091805 |
| Phone Number | 8592585073 |
| Fax Number | 8592585074 |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | PT-001907 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4000501 | KY | MEDICARE LAB GROUP | |
| 650025330 | KY | RR MEDICARE PIN | |
| 37903705 | KY | MEDICAID LAB GROUP | |
| CB5773 | KY | RR MEDICARE GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeanelle H. Porter by the Centers for Medicare & Medicaid Services?
The Jeanelle H. Porter has been issued the NPI (National Provider Identifier) 1609948868 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jeanelle H. Porter's facilities are situated?
The facilities of Jeanelle H. Porter are physically located at the following address: 100 N Eagle Creek Dr, Lexington, KY, 405091805.
What is the Jeanelle H. Porter's area of specialization and corresponding taxonomy classification?
The Jeanelle H. Porter's specialty field is Sports, and it falls under the taxonomy code 2251S0007X, which categorizes healthcare providers based on their specialties.
On what date did the Jeanelle H. Porter receive its 1609948868 assignment from the Centers for Medicare & Medicaid Services?
The Jeanelle H. Porter was assigned its 1609948868 by the Centers for Medicare & Medicaid Services on 2006-11-14.
When was the Jeanelle H. Porter's information last updated?
The Jeanelle H. Porter's information was last updated on 2020-12-08.