Individual provider Active NPI

Laura Fields

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1023560919
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005382 Issued in KY
Practice address
5012 E Manslick Rd
Louisville, KY 40219-5165
Phone
(502) 969-3277
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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 005382 KY Primary

Addresses

Primary practice location

5012 E Manslick Rd
Louisville, KY 40219-5165

Mailing address

5012 E Manslick Rd
Louisville, KY 40219-5165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200323002154 KY Practitioner - Physical Therapist in Private Practice 5294163408 Reassigns benefits to 1 organization
I20230714000870 IN Practitioner - Physical Therapist in Private Practice 5294163408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, shared by 24 NPIs, 399 clinicians

Practice addresses (Care Compare)

10210 Long Home Rd
Louisville, KY 40291-6400
Phone (502) 554-4998

2715 Charlestown Pike
Jeffersonville, IN 47130-8163
Phone (812) 933-8267

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005382KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Aug 20, 2019 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Aug 20, 2019 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince May 28, 2023 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

1000 Fianna Way
Fort Smith, AR 72919
Phone (479) 201-6089

98 N 10th St
Greencastle, IN 46135
Phone (765) 301-4642

10210 Long Home Rd
Louisville, KY 40291
Phone (502) 231-4522

Organizations & group practices 4

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": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1023560919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 E MANSLICK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 E MANSLICK RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195165",
            "telephone_number": "502-969-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "LAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005382",
            "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 Oct 26, 2016; 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.