Active NPI
Camilla Rae Koerber, DPT
- Physical Therapist
- New Albany, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6159
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
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
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
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP018997T | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Athletico, LTD | Physical Therapist | Current | Accepting new patients |
| SN Kentuckiana Rehab, LLC | Current | 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
- 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.
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Clarksville, IN
- NPI 1295208684
-
dba Athletico Physical Therapy
- Clinic/Center
- Lexington, KY
- NPI 1588339402
Physical Therapist
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- New Albany, IN
- NPI 1366915761
Physical Therapist
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Jeffersonville, IN
- NPI 1851864169
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.