Individual provider Active NPI

Camilla Rae Koerber, DPT

  • Physical Therapist
  • New Albany, IN
National Provider Identifier
1043299241
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6159 Issued in AZ
Practice address
3626 Grant Line Rd Ste 105
New Albany, IN 47150-2399
Phone
(812) 944-1377
Fax
(812) 944-1458
NPI assigned
Jan 16, 2006
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6159 AZ Primary
Physical Therapist 225100000X CP018997T KY
Physical Therapist 225100000X 05015099A IN

Addresses

Primary practice location

3626 Grant Line Rd Ste 105
New Albany, IN 47150-2399

Mailing address

5947 Saint Marys Rd
Floyds Knobs, IN 47119-9127
Phone (480) 206-1978

Other names 1

  • Dr. Camilla Rae Lane Former name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230523002969 KY Practitioner - Physical Therapist in Private Practice 5698661049 Reassigns benefits to 1 organization
I20240406000549 IN Practitioner - Physical Therapist in Private Practice 5698661049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

3626 Grant Line Rd
Suite 105
New Albany, IN 47150-2399
Phone (812) 944-1377

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP018997TKYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Dec 8, 2024 Accepting new patients
SN Kentuckiana Rehab, LLC Current Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients
Athletico, LTD Physical Therapist CurrentSince May 4, 2023 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

9407 County Road 403
Charlestown, IN 47111
Phone (812) 256-0528

325 E Lewis and Clark Pkwy
Ste 100
Clarksville, IN 47129
Phone (812) 283-3231

1730 Williamsburg Dr
Ste 3
Jeffersonvlle, IN 47130
Phone (812) 246-0705

219 Clifty Dr
Madison, IN 47250
Phone (812) 265-8226

3626 Grant Line Rd
Ste 105
New Albany, IN 47150
Phone (502) 558-2903

630 Euclid Ave
Ste 140
Lexington, KY 40502
Phone (859) 303-9980

6413 Dutchmans Pkwy
Louisville, KY 40205
Phone (502) 694-3500

Interoperability endpoints

  • Direct secure messaging: camilla.lane.p6@direct.athleticoltd.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1043299241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5947 SAINT MARYS RD",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199127",
            "telephone_number": "480-206-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 GRANT LINE RD STE 105",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502399",
            "telephone_number": "812-944-1377",
            "fax_number": "812-944-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERBER",
        "first_name": "CAMILLA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-16",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6159",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "CP018997T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015099A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLA",
            "last_name": "LANE",
            "middle_name": "RAE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.