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

Nathan Dean Phillips, PT

Individual provider Physical Therapist · NPI 1255164786

Nathan Dean Phillips, PT is a Physical Therapist in Private Practice in Edgewood, Kentucky. Qualified in 2024, 2 years ago. Practices with Orthocincy Orthopaedics and Sports Medicine PSC, a 164-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
2
Licensed in
KY, OH
In the registry since
2024
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

560 S Loop Rd
Edgewood, KY 41017-3405
Phone: (859) 817-3599
Fax: (859) 817-7848
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP033412T (KY)
Physical Therapist Taxonomy 225100000X · Licence PT021310 (OH)

Record details

NPI number1255164786
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 21, 2024
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address560 S Loop Rd, Edgewood, KY 41017-3405

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 Orthocincy Orthopaedics And Sports Medicine Psc — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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