Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Levi Ray Bristow, DPT

Individual provider Physical Therapist · NPI 1205171980

Dr. Levi Ray Bristow, DPT is a Physical Therapist in Private Practice in LA Grange, Kentucky. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
16
Licensed in
KY
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

2612 Sunningdale Pl W
LA Grange, KY 40031-8948
Phone: (502) 759-2879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 005609 (KY)

Record details

NPI number1205171980
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 6, 2012
Last updated in NPPESDecember 6, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in LA Grange