Individual provider Active NPI

Kathryn Hillary, LMT

  • Massage Therapist
  • Louisville, KY
National Provider Identifier
1144810920
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
108421 Issued in KY
Practice address
4227 Poplar Level Rd
Louisville, KY 40213-1527
Phone
(502) 451-5959
Fax
(502) 451-5041
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 108421 KY Primary

Addresses

Primary practice location

4227 Poplar Level Rd
Louisville, KY 40213-1527

Mailing address

3215 Furman Blvd
Louisville, KY 40220-1949
Phone (502) 510-3791

Other identifiers 2

IdentifierTypeStateIssuer
4923OtherKYMASSAGE LEGACY NUMBER
108421OtherKYMASSAGE LICENSE NUMBER

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

LicenseStateTypeSpecialty
108421KYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisville Sports and Injury Center Inc CurrentSince Jan 31, 2021 Accepting new patients

Locations

4227 Poplar Level Rd
Louisville, KY 40213
Phone (502) 451-5959

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1144810920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 FURMAN BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201949",
            "telephone_number": "502-510-3791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 POPLAR LEVEL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402131527",
            "telephone_number": "502-451-5959",
            "fax_number": "502-451-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLARY",
        "first_name": "KATHRYN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "108421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LEGACY NUMBER",
            "identifier": "4923",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE NUMBER",
            "identifier": "108421",
            "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 Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.