Active NPI
Patrick D Thompson, P.T.
- Physical Therapist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT003115
- Practice address
- 4130 Dutchmans LN
Suite 300
Louisville, KY 40207-4713 - Phone
- (502) 897-1794
- Fax
- (502) 897-0093
- NPI assigned
- Aug 30, 2006
- Last updated
- Nov 3, 2011
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT003115 | KY | Primary |
Addresses
Primary practice location
4130 Dutchmans LN
Suite 300
Louisville, KY 40207-4713
Mailing address
4130 Dutchmans LN
Suite 300
Louisville, KY 40207-4713
Phone (502) 897-1794
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000710956 | Other | KY | ANTHEM |
| 5637659 | Other | KY | AETNA |
| 50033295 | Other | KY | PASSPORT ADVANTAGE |
| 7100161720 | Medicaid | KY | |
| 201022440 | Other | KY | MEDICAID INDIANA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2400 Eastpoint Pkwy
Suite 120
Louisville, KY 40223-4154
Phone (502) 253-6689
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.05 of 100
- Promoting interoperability
- 93
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT003115 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Physical Therapist | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Past | Accepting new patients |
Locations
12010 Shelbyville Rd
Ste 500
Louisville, KY 40243
Phone (502) 238-2800
2400 Eastpoint Pkwy
Ste 120
Louisville, KY 40223
Phone (502) 253-6689
2600 Stanley Gault Pkwy
Ste 201
Louisville, KY 40223
Phone (502) 253-1025
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
4130 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 897-1790
4130 Dutchmans Ln
Ste 200
Louisville, KY 40207
Phone (502) 238-7293
4130 Dutchmans Ln
Ste 300
Louisville, KY 40207
Interoperability endpoints
- patrick.thompson.1@25506.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba Dawson Springs Rural Health Clinic
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
Physical Therapist
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1780961300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1144330887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 DUTCHMANS LN",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074713",
"telephone_number": "502-897-1794",
"fax_number": "502-897-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 DUTCHMANS LN",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074713",
"telephone_number": "502-897-1794",
"fax_number": "502-897-0093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "PATRICK",
"middle_name": "D",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "PT003115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000710956",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5637659",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "50033295",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100161720",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID INDIANA",
"identifier": "201022440",
"state": "KY"
}
],
"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 Nov 3, 2011; 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.