Individual provider Active NPI

Cassidy Brown

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1114502622
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013941A Issued in IN
Practice address
8225 Whipps Mill Rd
Louisville, KY 40222-5482
Phone
(502) 716-5160
NPI assigned
Mar 16, 2021
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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
Physical Therapist 225100000X 05013941A IN Primary

Addresses

Primary practice location

8225 Whipps Mill Rd
Louisville, KY 40222-5482

Mailing address

1379 Players Club Cir
Gulf Breeze, FL 32563-3521

Other practice location 1

901 Blankenbaker Pkwy
Louisville, KY 40243-1884
Phone (775) 367-6937

Other practice location 2

9300 Civic Way
Prospect, KY 40059-6619
Phone (775) 367-6937

Other practice location 3

173 Pacer Dr NW
Corydon, IN 47112-2144
Phone (812) 734-1918

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220105000981 IN Practitioner - Physical Therapist in Private Practice 1557779329 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)

325 E Lewis and Clark Pkwy
Suite 100
Clarksville, IN 47129-1725
Phone (812) 283-3231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Next PT Group Kentucky, LLC Physical Therapist CurrentSince Mar 22, 2021 Accepting new patients

Locations

6901 Carslaw Ct
Prospect, KY 40059
Phone (502) 480-1794

Organizations & group practices 2

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": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1114502622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 PLAYERS CLUB CIR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 WHIPPS MILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225482",
            "telephone_number": "502-716-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Blankenbaker Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402431884",
            "country_code": "US",
            "telephone_number": "775-367-6937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 Civic Way",
            "address_purpose": "LOCATION",
            "city": "Prospect",
            "state": "KY",
            "postal_code": "400596619",
            "country_code": "US",
            "telephone_number": "775-367-6937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "173 Pacer Dr NW",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471122144",
            "country_code": "US",
            "telephone_number": "812-734-1918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CASSIDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013941A",
            "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 Dec 2, 2021; 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.