Active NPI
Lauren K Mattingly, PT
- Physical Therapist
- Louisville, KY
National Provider Identifier
1013931005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003595
- Practice address
- 4020 Taylorsville Rd
Suite 7
Louisville, KY 40220-1569 - Phone
- (502) 479-2552
- Fax
- (502) 479-2539
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- 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 | 003595 | KY | Primary |
Addresses
Primary practice location
4020 Taylorsville Rd
Suite 7
Louisville, KY 40220-1569
Mailing address
4020 Taylorsville Rd
Suite 7
Louisville, KY 40220-1569
Phone (502) 479-2552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1013931005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 TAYLORSVILLE RD",
"address_2": "SUITE 7",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402201569",
"telephone_number": "502-479-2552",
"fax_number": "502-479-2539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 TAYLORSVILLE RD",
"address_2": "SUITE 7",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402201569",
"telephone_number": "502-479-2552",
"fax_number": "502-479-2539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATTINGLY",
"first_name": "LAUREN",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "003595",
"primary": true
}
],
"identifiers": [],
"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 Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.