Individual provider Active NPI

Wesley Aaron Newman, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1063036499
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
KY008023 Issued in KY
Practice address
10631 Dixie Hwy
Louisville, KY 40272-4349
Phone
(402) 933-1777
Fax
(502) 933-7722
NPI assigned
Jun 1, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X KY008023 KY Primary

Addresses

Primary practice location

10631 Dixie Hwy
Louisville, KY 40272-4349

Mailing address

1013 Garden Creek Cir
Louisville, KY 40223-2692
Phone (502) 382-7029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201123001035 KY Practitioner - Physical Therapist in Private Practice 7719398866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
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)

10631 Dixie Hwy
Louisville, KY 40272-4349
Phone (502) 933-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KY008023KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Jun 8, 2020 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Jun 8, 2020 Accepting new patients

Locations

4430 Crawford Ave
Louisville, KY 40258
Phone (502) 995-2705

10631 Dixie Hwy
Louisville, KY 40272
Phone (502) 447-2750

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 3

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1063036499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 GARDEN CREEK CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402232692",
            "telephone_number": "502-382-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10631 DIXIE HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402724349",
            "telephone_number": "402-933-1777",
            "fax_number": "502-933-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "WESLEY",
        "middle_name": "AARON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "KY008023",
            "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 Jul 24, 2024; 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.