Lori Weickel
Individual provider Active NPI Physical Therapist · Louisville, KY
NPI 1013345180 · NPPES record last updated Sep 13, 2021
Key facts
- NPI
- 1013345180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 006329 (KY)
- Practice address
- 9368 Cedar Center Way
Louisville, KY 40291-4522 - Phone
- (502) 231-3979
- Fax
- (502) 231-9891
- NPI assigned
- Oct 28, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SN Kentuckiana Rehab, LLC
Practice addresses (Care Compare)
9368 Cedar Ctr Way
Louisville, KY 40291-4522
Phone (502) 231-3979
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190603002583 | KY | Practitioner - Physical Therapist in Private Practice | 5799018917 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T13035 | KY | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Current |
Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Physical Therapist | Current |
Accepting new patients |
| SN Kentuckiana Rehab, LLC | Physical Therapist | Current | Accepting new patients |
Locations
6400 Dutchmans Pkwy
Ste 20
Louisville, KY 40205
Phone (502) 742-9392
210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350
9368 Cedar Center Way
Louisville, KY 40291
Phone (502) 231-3979
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | T13035 | KY | |
| Physical Therapist | 225100000X | 006329 | KY | Yes |
Addresses
Primary practice location
9368 Cedar Center Way
Louisville, KY 40291-4522
Mailing address
9368 Cedar Center Way
Louisville, KY 40291-4522
Phone (502) 231-3979
Other providers in Louisville, KY
- Evan Joseph Wegenast
- Kyleigha L Wehling
- Mary S Wehner
- George Zach Wei
- Samuel Weible
- Nicholas Weickel
- Christina Anne Weiermann
- Jennifer Weiger
- Shelia Weihe Kiley
- Daniel L Weinberg
All providers in Louisville, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.