Katelyn Renee Hopper, DPT
Individual provider Active NPI Physical Therapist · Mount Washington, KY
NPI 1023847423 · NPPES record last updated Aug 1, 2024
Key facts
- NPI
- 1023847423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 009121 (KY)
- Practice address
- 190 Shadowmeade LN
Mount Washington, KY 40047-6277 - Phone
- (502) 538-2332
- NPI assigned
- Aug 1, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SN Kentuckiana Rehab, LLC
Practice addresses (Care Compare)
190 Shadowmeade LN
Mt Washington, KY 40047-6277
Phone (502) 538-2332
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241002002842 | KY | Practitioner - Physical Therapist in Private Practice | 2668903543 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009121 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Current |
Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current |
Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Physical Therapist | Current | Accepting new patients |
Locations
210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350
190 Shadowmeade Ln
Mt Washington, KY 40047
Phone (502) 538-2332
431 Adam Shepherd Pkwy
#1
Shepherdsville, KY 40165
Phone (502) 921-0272
1868 W Hebron Ln
Ste 101
Shepherdsville, KY 40165
Phone (502) 955-7724
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009121 | KY | Yes |
Addresses
Primary practice location
190 Shadowmeade LN
Mount Washington, KY 40047-6277
Mailing address
131 Whitney Dr
Bardstown, KY 40004-9011
Other providers in Mount Washington, KY
- Herhealth Nutrition
- Shera J Herndon
- Hipabilities, Inc.
- Anjenean Holt
- Homelyfe Personal Care Agency
- Taylor Horn
- Kayla Huff
- Karen Anne Hughes
- Kimberley Marie Huseman
- Impact Outpatient Program LLC
All providers in Mount Washington, 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 Aug 1, 2024. 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.