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

Kaitlin Olivia Cordova, PTDPT

Individual provider Physical Therapist · NPI 1629638333

Kaitlin Olivia Cordova, PTDPT is a Physical Therapist in Private Practice in Lexington, Kentucky. Qualified in 2019, 7 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
7
Licensed in
KY
In the registry since
2019

Practice location Address checks out

1128 Winchester Rd Ste 110
Lexington, KY 40505-4052
Phone: (859) 539-3305
Fax: (855) 978-1372
Show map & directions

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

Additional practice locations (1)

  • 149 Old Towne Walk Apt 5302, Lexington, KY 40511-2190 — (859) 539-3305

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 007685 (KY)

Record details

NPI number1629638333
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTDPT
Sole proprietorNo
NPI enumeratedJune 14, 2019
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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