Individual provider Active NPI

Niraj Mathur, OTR/L

  • Skilled Nursing Facility
  • Louisville, KY
National Provider Identifier
1043659626
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
R1186 Issued in KY
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

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20250924002600 IN Practitioner - Occupational Therapist in Private Practice 5294261251 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
R1186KYMDSkilled Nursing Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Therapy LLC CurrentSince Oct 5, 2024 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.

Verify at the official NPI Registry.