Active NPI
Evangeline Burch, PT
- Physical Therapist
- Louisville, KY
National Provider Identifier
1124935630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002142
- Practice address
- 300 Shelby Station Dr
Louisville, KY 40245-4186 - Phone
- (502) 544-3630
- NPI assigned
- Aug 27, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 002142 | KY | Primary |
Addresses
Primary practice location
300 Shelby Station Dr
Louisville, KY 40245-4186
Mailing address
300 Shelby Station Dr
Louisville, KY 40245-4186
Phone (502) 216-2863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1124935630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SHELBY STATION DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454186",
"telephone_number": "502-216-2863",
"fax_number": "502-365-4056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SHELBY STATION DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454186",
"telephone_number": "502-544-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURCH",
"first_name": "EVANGELINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "002142",
"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 Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.