NPIMap

Camilla Rae Koerber, DPT

Individual provider Active NPI Physical Therapist · New Albany, IN

NPI 1043299241 · NPPES record last updated Apr 6, 2026

Key facts

NPI
1043299241
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
6159 (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
Sex
Female
Sole proprietor
No

Organizations & group practices 21

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.

Medicare Care Compare profile

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, LLC (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 100 (group)
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in KY, IN

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
6159AZMDPhysical Therapist
05015099AINMDPhysical Therapist
CP018997TKYMDPhysical Therapist

Practice roles

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6159 AZ Yes
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

  • Dr. Camilla Rae Lane Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 6, 2026.

{
    "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

All providers in New Albany, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.