ROBERT JAMES PRUDEN PT
NPI 1962594507
Physical Therapist in Lexington, KY

Active since September 29, 2006Accepts Medicare Assignment
75/100
CMS Quality Rating
3480 YORKSHIRE MEDICAL PARK, LEXINGTON, KY 40509(859) 263-5140(859) 263-5141 Get Directions Write a Review

NPPES record last updated: May 17, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert James Pruden Pt NPPES

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

ROBERT JAMES PRUDEN PT (NPI 1962594507) is an individual physical therapist in Lexington, Kentucky, licensed in Kentucky (002747) and active in the NPI registry since September 2006. He is a graduate of Other (1994).

NPPES Registry Identity

NPI1962594507
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameROBERT JAMES PRUDENCredential: PT
Location Address3480 YORKSHIRE MEDICAL PARKLexington, KY 40509-1886
Mailing Address3480 Yorkshire Medical ParkLexington, KY 40509-1886 · (859) 263-5140 · Fax (859) 263-5141
Fax(859) 263-5141
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMay 17, 2017
NPI 1962594507 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 · 002747
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

3480 YORKSHIRE MEDICAL PARK, Lexington, KY 40509

Other Identifiers 1

Medicare ID-Type Unspecified0254924KY

Accepted Insurance

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

Robert James Pruden 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 ID6103852777
PECOS Enrollment IDI20050714000668

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
2,227 services235 patients
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.
1,967 services181 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
1,032 services200 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
346 services109 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
124 services45 patients
Application of blood vessel compression device 97016
A blood vessel compression device is applied to control bleeding and promote clotting after a procedure. This device applies pressure to your blood vessels, reducing the chance of excessive bleeding. It's a safe, standard part of many medical procedures.
93 services35 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 20

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

Neurological Surgery
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Physical Therapist
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Physician Assistant
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Specialist
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Physician Assistant
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Nurse Anesthetist, Certified Registered
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Physical Therapist
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509
Orthopaedic Surgery
3480 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962594507, enumerated as an "individual" on September 29, 2006.

The provider is located at 3480 YORKSHIRE MEDICAL PARK LEXINGTON, KY 40509 and the phone number is (859) 263-5140.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.