Provider Demographics
NPI:1639059017
Name:HYPHEN HQ
Entity type:Organization
Organization Name:HYPHEN HQ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICKARD
Authorized Official - Middle Name:DUSTIN
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:502-427-6004
Mailing Address - Street 1:543 BOONESBORO AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-1953
Mailing Address - Country:US
Mailing Address - Phone:502-427-6004
Mailing Address - Fax:
Practice Address - Street 1:543 BOONESBORO AVE
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-1953
Practice Address - Country:US
Practice Address - Phone:502-427-6004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Single Specialty