MR. JAMES ERIC ESCALONI PT
NPI 1467643064
Physical Therapist in Lexington, KY

Active since August 08, 2007Accepts Medicare Assignment
75/100
CMS Quality Rating
101 N EAGLE CREEK DR, LEXINGTON, KY 40509(859) 275-4878(859) 276-5400 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. James Eric Escaloni Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES ERIC ESCALONI PT (NPI 1467643064) is an individual physical therapist in Lexington, Kentucky, licensed in Kentucky (5176) and active in the NPI registry since August 2007. He maintains a secondary practice location in Corbin and is a graduate of Other (2007).

NPPES Registry Identity

NPI1467643064
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. JAMES ERIC ESCALONICredential: PT
Location Address101 N EAGLE CREEK DRLexington, KY 40509-1806
Mailing Address101 N Eagle Creek DrLexington, KY 40509-1806 · (859) 275-4878 · Fax (859) 275-5400
Fax(859) 276-5400
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 8, 2007
Last NPPES UpdateMay 31, 2024
NPPES CertifiedMay 31, 2024
NPI 1467643064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in KY · 5176
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
101 N EAGLE CREEK DR, Lexington, KY 40509

Secondary Practice Location 1

Location 11707 Cumberland Falls Hwy Ste 5Corbin, KY 40701-2743 · Phone (859) 275-4878 · Fax (859) 276-5400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. James Eric Escaloni Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254509631
PECOS Enrollment IDI20110801000139

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
254 services22 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
116 services21 patients
Re-evaluation for physical therapy, typically 20 minutes 97164
A re-evaluation for physical therapy is a 20-minute session where your progress is assessed. Your physical therapist will check your current condition, compare it to previous records, and adjust your treatment plan if needed. This ensures your therapy remains effective and tailored to your needs.
80 services46 patients
Training for self-care or home management, each 15 minutes 97535
This service involves training sessions, each lasting 15 minutes, focused on teaching you essential self-care or home management skills. You'll learn techniques to manage your health condition at home, promoting independence and enhancing your quality of life.
78 services56 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
101 N EAGLE CREEK DR
LEXINGTON, KY 40509
Family Medicine
101 N EAGLE CREEK DR
LEXINGTON, KY 40509
Physical Therapist
101 N EAGLE CREEK DR
LEXINGTON, KY 40509
Physical Medicine & Rehabilitation
101 N EAGLE CREEK DR
LEXINGTON, KY 40509
Clinic/Center (Rehabilitation)
101 N EAGLE CREEK DR
LEXINGTON, KY 40509
Clinic/Center (Rehabilitation)
101 N EAGLE CREEK DR
LEXINGTON, KY 40509
Anesthesiology (Pain Medicine)
101 N EAGLE CREEK DR
LEXINGTON, KY 40509
Psychiatry & Neurology (Psychiatry)
101 N EAGLE CREEK DR
LEXINGTON, KY 40509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Escaloni's NPI number?

The NPI number for James Escaloni is 1467643064. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Where is James Escaloni located?

James Escaloni practices at 101 N Eagle Creek Dr, Lexington, KY 40509. The listed phone number is (859) 275-4878.

What is James Escaloni's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is James Escaloni enrolled in Medicare?

Yes. James Escaloni is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for James Escaloni was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.