IAN NANNIG (PT) – Physical Therapist, NPI 1144958604

IAN NANNIG (PT) is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT03539 (RI). The NPI Number for IAN NANNIG (PT) is 1144958604

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
IAN NANNIG (PT)
NPI
1144958604
Phone
(502) 576-3282
Address
1650 LYNDON FARM CT STE 300
Enumeration Date
12 August 2022
Last Update Date
12 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9782630007
Graduation Year
2022 (4 years ago)
PAC ID
6305220153
Group Practice PAC ID
0042392052
Professional Enrollment ID
I20240730002397
Address ID
MA017203739AC411XXAVEX318
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

606 PHYSICAL THERAPIST IN PRIVATE PRACTICE in RI

Provider Addresses for IAN NANNIG (PT)

  • 1650 LYNDON FARM CT STE 300

    LOUISVILLE, KY 402235005

    Phone: (502) 576-3282

    Type: Mailing

  • 75 SOCKANOSSET CROSS RD

    CRANSTON, RI 029205558

    Phone: (401) 944-7574

    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: 2024-07-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220829002390IPhysical Therapist In Private PracticeRITBD
I20240730002397IPhysical Therapist In Private PracticeMATBD

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 minutes1,375149$0
97140Therapy procedure using manual technique, each 15 minutes808118$0
97530Therapy procedure using functional activities64293$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes53280$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care12413$0
View full utilization report →

Insurance plans in this area (ZIP 40223)

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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: 0042392052View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What NPI should I save for IAN NANNIG (PT)?
Save NPI 1144958604 if you need a stable reference for IAN NANNIG (PT).
Is IAN NANNIG (PT) active in the national directory?
IAN NANNIG (PT)'s public NPI profile is in an active state.
What field does IAN NANNIG (PT) work in?
You can think of IAN NANNIG (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for IAN NANNIG (PT)?
We surface Louisville, Kentucky for IAN NANNIG (PT) based on available NPPES addresses.
What if Louisville, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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