Active NPI
Robert Gable, PTA
- Physical Therapy Assistant
- Louisville, KY
National Provider Identifier
1144975293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A01399
- Practice address
- 7504 Westport Rd
Louisville, KY 40222-4398 - Phone
- (502) 736-4048
- NPI assigned
- Feb 17, 2022
- 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 Therapy Assistant | 225200000X | A01399 | KY | Primary |
Addresses
Primary practice location
7504 Westport Rd
Louisville, KY 40222-4398
Mailing address
4408 Birch View Dr
Louisville, KY 40299-5886
Phone (502) 468-8023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A01399 | Other | KY | PTA LICENSURE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rgable@healthpro-heritage.com |
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 |
|---|---|---|---|
| A01399 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1144975293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4408 BIRCH VIEW DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402995886",
"telephone_number": "502-468-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7504 WESTPORT RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224398",
"telephone_number": "502-736-4048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GABLE",
"first_name": "ROBERT",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-17",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A01399",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTA LICENSURE",
"identifier": "A01399",
"state": "KY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rgable@healthpro-heritage.com",
"affiliation": "N",
"endpointDescription": "ECH Rehab Office",
"address_1": "7504 Westport Rd",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402224398",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.