Individual provider Active NPI

Patrick D Thompson, P.T.

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1144330887
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT003115 Issued in KY
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000710956OtherKYANTHEM
5637659OtherKYAETNA
50033295OtherKYPASSPORT ADVANTAGE
7100161720MedicaidKY
201022440OtherKYMEDICAID INDIANA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081015000766 KY Practitioner - Physical Therapist in Private Practice 2769540046 Reassigns benefits to 1 organization

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
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

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 100Reported as group
Promoting interoperability
93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT003115KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2025 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.