Active NPI
Eric Kirklin McElroy, PT, DPT, CSCS
- Physical Therapist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005074
- Practice address
- 3052 Bardstown Rd
Louisville, KY 40205-3020 - Phone
- (502) 454-5544
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005074 | KY | Primary |
Addresses
Primary practice location
3052 Bardstown Rd
Louisville, KY 40205-3020
Mailing address
PO Box 5629
Evansville, IN 47716-5629
Phone (812) 476-0409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000936106 | Other | KY | ANTHEM BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3630 Brownsboro Rd
Louisville, KY 40207-1861
Phone (502) 749-6950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005074 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prorehab Louisville | Physical Therapist | Current | Accepting new patients |
| Prorehab Louisville, LLC | Physical Therapist | Current | Accepting new patients |
| Prorehab Louisville | Physical Therapist | Current | Accepting new patients |
Locations
1407 E Crystal Dr
Ste E
Lagrange, KY 40031
Phone (502) 222-0280
3630 Brownsboro Rd
Louisville, KY 40207
Phone (502) 749-6950
3052 Bardstown Rd
Louisville, KY 40205
Phone (502) 454-5544
170 Dr Arla Way
Ste 102
Louisville, KY 40229
Phone (502) 897-7300
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Crestwood, KY
- NPI 1982473880
-
- Physical Therapy Clinic/Center
- Scottsburg, IN
- NPI 1053161349
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1003947680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5629",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477165629",
"telephone_number": "812-476-0409",
"fax_number": "812-476-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3052 BARDSTOWN RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402053020",
"telephone_number": "502-454-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELROY",
"first_name": "ERIC",
"middle_name": "KIRKLIN",
"name_prefix": "Mr.",
"credential": "PT, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000936106",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.