Individual provider Active NPI

Lucas Brohm

  • Physical Therapist
  • Shepherdsville, KY
National Provider Identifier
1114494713
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007544 Issued in KY
Practice address
431 Adam Shepherd Pkwy Ste 1
Shepherdsville, KY 40165-6640
Phone
(502) 921-0272
Fax
(502) 921-0465
NPI assigned
Nov 1, 2018
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007544 KY Primary
Clinical Electrophysiology Physical Therapist 2251E1300X 007544 KY

Addresses

Primary practice location

431 Adam Shepherd Pkwy Ste 1
Shepherdsville, KY 40165-6640

Mailing address

190 Shadowmeade LN
Mt Washington, KY 40047-6277
Phone (502) 538-2332

Other identifiers 1

IdentifierTypeStateIssuer
2251000000XMedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190419000667 KY Practitioner - Physical Therapist in Private Practice 1658613773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
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)

190 Shadowmeade LN
Mt Washington, KY 40047-6277
Phone (502) 538-2332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007544KYMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Apr 13, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
Kentucky Orthopedic Rehabilitation LLC CurrentSince Apr 13, 2019 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Apr 1, 2019 Accepting new patients
Kentucky Orthopedic Rehabilitation, LLC Physical Therapist Current Accepting new patients

Locations

875 Pennsylvania Ave
#A
Bardstown, KY 40004
Phone (502) 349-6961

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

12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299
Phone (502) 267-1480

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

190 Shadowmeade Ln
Mt Washington, KY 40047
Phone (502) 538-2332

235 Boggs Ln
Ste 9
Richmond, KY 40475
Phone (859) 972-8630

431 Adam Shepherd Pkwy
#1
Shepherdsville, KY 40165
Phone (502) 921-0272

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1114494713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SHADOWMEADE LN",
            "city": "MT WASHINGTON",
            "state": "KY",
            "postal_code": "400476277",
            "telephone_number": "502-538-2332",
            "fax_number": "502-538-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 ADAM SHEPHERD PKWY STE 1",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656640",
            "telephone_number": "502-921-0272",
            "fax_number": "502-921-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROHM",
        "first_name": "LUCAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-01",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007544",
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "KY",
            "license": "007544",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2251000000X",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.