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

Nathan Lundy

Individual provider Physical Therapist · NPI 1487460580

Nathan Lundy is a Physical Therapist in Private Practice in London, Kentucky. Qualified in 2024, 2 years ago. Practices with Revolution Physical Therapy, a 4-clinician group, works from 2 locations 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

195 Commercial Dr Ste 100
London, KY 40744-5234
Phone: (606) 657-5111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1480 Cumberland Falls Hwy, Corbin, KY 40701-2721 — (606) 528-0870

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 009213 (KY)

Record details

NPI number1487460580
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address195 Commercial Dr Ste 100, London, KY 40744-5234

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 Revolution Physical Therapy — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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