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

Kevin Lee Wood Jr.

Individual provider Physical Therapist · NPI 1720802416

Kevin Lee Wood Jr. is a Physical Therapist in Private Practice in Louisville, Kentucky. Qualified in 2024, 2 years ago. Practices with Intermountain Medical Group Denver LLC, a 567-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2024
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Practice location Address checks out

1720 W Broadway Ste 105
Louisville, KY 40203-3607
Phone: (502) 890-6900
Fax: (502) 890-6088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 009220 (KY)

Record details

NPI number1720802416
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Intermountain Medical Group Denver Llc — 567 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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