Active NPI
Niraj Mathur, OTR/L
- Skilled Nursing Facility
- Louisville, KY
National Provider Identifier
1043659626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- R1186
- Practice address
- 4209 Bridlepath PL
Louisville, KY 40245-1971 - Phone
- (502) 243-9329
- NPI assigned
- Jun 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | R1186 | KY | Primary |
Addresses
Primary practice location
4209 Bridlepath PL
Louisville, KY 40245-1971
Mailing address
4209 Bridlepath PL
Louisville, KY 40245-1971
Phone (502) 243-9329
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1050 Chinoe Rd
Suite 350
Lexington, KY 40502-6571
PO Box
Suite 88
Woodland, WA 98674
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1186 | KY | MD | Skilled Nursing Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Therapy LLC | Current | Accepting new patients |
Locations
4915 Charlestown Rd
New Albany, IN 47150
Phone (812) 945-5221
1050 Chinoe Rd
Ste 350
Lexington, KY 40502
Phone (606) 275-9869
Organizations & group practices 1
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": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371513600000",
"number": "1043659626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4209 BRIDLEPATH PL",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402451971",
"telephone_number": "502-243-9329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4209 BRIDLEPATH PL",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402451971",
"telephone_number": "502-243-9329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHUR",
"first_name": "NIRAJ",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-18",
"last_updated": "2013-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "R1186",
"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 Jun 18, 2013; 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.