Individual provider Active NPI

Crystal Lee Joice, D.P.T

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1083851786
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005367 Issued in KY
Practice address
12935 Shelbyville Rd
Suite 106
Louisville, KY 40243-1592
Phone
(502) 489-5002
Fax
(502) 489-8002
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2013

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 005367 KY Primary

Addresses

Primary practice location

12935 Shelbyville Rd
Suite 106
Louisville, KY 40243-1592

Mailing address

12935 Shelbyville Rd
Suite 106
Louisville, KY 40243-1592
Phone (502) 489-5002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130703000613 KY Practitioner - Physical Therapist in Private Practice 3678713153 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Oct 16, 2023 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Oct 16, 2023 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients

Locations

930 Jamestown St
Columbia, KY 42728
Phone (270) 751-8730

6003 Pleasant Colony Ct
Ste 3
Crestwood, KY 40014
Phone (502) 241-5597

1212 Market St
Lagrange, KY 40031
Phone (502) 225-9981

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

12935 Shelbyville Rd
Middletown, KY 40243
Phone (502) 489-5002

229 Letton Dr
Paris, KY 40361
Phone (859) 340-1061

543 Taylorsville Rd
Ste 101
Taylorsville, KY 40071
Phone (423) 618-4193

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367798400000",
    "number": "1083851786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12935 SHELBYVILLE RD",
            "address_2": "SUITE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431592",
            "telephone_number": "502-489-5002",
            "fax_number": "502-489-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 SHELBYVILLE RD",
            "address_2": "SUITE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431592",
            "telephone_number": "502-489-5002",
            "fax_number": "502-489-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOICE",
        "first_name": "CRYSTAL",
        "middle_name": "LEE",
        "credential": "D.P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2013-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005367",
            "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 May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.