Individual provider Active NPI

Eric Kirklin McElroy, PT, DPT, CSCS

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1003947680
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005074 Issued in KY
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

Updated by the provider on Oct 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000936106OtherKYANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070713000531 KY Practitioner - Physical Therapist in Private Practice 0840390209 Reassigns benefits to 1 organization

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
Prorehab LouisvilleGroup PAC ID 4587981337, 71 clinicians

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

LicenseStateTypeSpecialty
005074KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Louisville Physical Therapist Current Accepting new patients
Prorehab Louisville, LLC Physical Therapist CurrentSince Jun 1, 2015 Accepting new patients
Prorehab Louisville Physical Therapist CurrentSince Jun 1, 2015 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.

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.

Verify at the official NPI Registry.