Active NPI
John Matthew Janes, PT, MHS, OCS
- Specialist
- Louisville, KY
National Provider Identifier
1124024385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT-003331
- Practice address
- 710 Executive Park
Louisville, KY 40207-4207 - Phone
- (502) 895-4213
- Fax
- (502) 897-7454
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT-003331 | KY | Primary |
Addresses
Primary practice location
710 Executive Park
Louisville, KY 40207-4207
Mailing address
47 Osage TRL
Louisville, KY 40245-7019
Phone (502) 213-0011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-003331 | KY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124024385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 OSAGE TRL",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402457019",
"telephone_number": "502-213-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 EXECUTIVE PARK",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074207",
"telephone_number": "502-895-4213",
"fax_number": "502-897-7454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANES",
"first_name": "JOHN",
"middle_name": "MATTHEW",
"credential": "PT, MHS, OCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "KY",
"license": "PT-003331",
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.