Provider Demographics
NPI:1700246956
Name:PHYSICAL THERAPY CONCEPTS LLC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY CONCEPTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:ZIEGE
Authorized Official - Suffix:
Authorized Official - Credentials:PT ABDA
Authorized Official - Phone:859-466-6355
Mailing Address - Street 1:15027 MADISON PIKE
Mailing Address - Street 2:
Mailing Address - City:MORNING VIEW
Mailing Address - State:KY
Mailing Address - Zip Code:41063-9664
Mailing Address - Country:US
Mailing Address - Phone:859-466-6355
Mailing Address - Fax:502-462-1148
Practice Address - Street 1:318 N MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:OWENTON
Practice Address - State:KY
Practice Address - Zip Code:40359-1430
Practice Address - Country:US
Practice Address - Phone:502-462-0094
Practice Address - Fax:502-462-1148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-01
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY001712225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty