ELIZABETH GRACE SIDEBOTTOM (DPT) – Physical Therapist, NPI 1083192959

ELIZABETH GRACE SIDEBOTTOM (DPT) is a healthcare provider. based in Elizabethtown, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 007445 (KY). The NPI Number for ELIZABETH GRACE SIDEBOTTOM (DPT) is 1083192959

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH GRACE SIDEBOTTOM (DPT)
NPI
1083192959
Phone
(270) 900-4052
Address
2624 RING RD STE 101
Enumeration Date
2 August 2018
Last Update Date
29 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2709004052
Graduation Year
2018 (8 years ago)
PAC ID
0244580298
Group Practice PAC ID
1254574700
Professional Enrollment ID
I20180912002114
Address ID
KY427019118EL2624XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for ELIZABETH GRACE SIDEBOTTOM (DPT)

  • 2624 RING RD STE 101

    ELIZABETHTOWN, KY 427019118

    Phone: (270) 900-4052

    Fax: (270) 900-4054

    Type: Location

  • Alysheba Way, Lexington, Fayette County, Kentucky, 40509-2429, United States

    LEXINGTON, KY 405092280

    Phone: (859) 264-8868

    Fax: (859) 264-8878

    Type: Mailing

  • Monarch Street, Lexington, Fayette County, Kentucky, 40390:40513, United States

    LEXINGTON, KY 405131892

    Phone: (859) 219-0211

    Fax: (859) 219-0241

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180912002114IPhysical Therapist In Private PracticeKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes74067$0
97140Therapy procedure using manual technique, each 15 minutes37761$0
97530Therapy procedure using functional activities29447$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes25040$0
97150Therapy procedure in a group setting11737$0
View full utilization report →

Insurance plans in this area (ZIP 42701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254574700View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
-KY

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Frequently asked questions

How do I look up ELIZABETH GRACE SIDEBOTTOM (DPT) by NPI?
Use NPI 1083192959 when you need to reference ELIZABETH GRACE SIDEBOTTOM (DPT) in forms, claims, or directories.
Is ELIZABETH GRACE SIDEBOTTOM (DPT) currently active in the NPI registry?
CMS-published data lists ELIZABETH GRACE SIDEBOTTOM (DPT) as an active registrant.
Does ELIZABETH GRACE SIDEBOTTOM (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for ELIZABETH GRACE SIDEBOTTOM (DPT). Clinical services aligned with this taxonomy classification.
What location shows for ELIZABETH GRACE SIDEBOTTOM (DPT)?
We surface Elizabethtown, Kentucky for ELIZABETH GRACE SIDEBOTTOM (DPT) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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