Active NPI
Bradley S Wheeldon, PT
- Physical Therapist
- Louisville, KY
National Provider Identifier
1154370872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004805
- Practice address
- 11330 Maple Brook Dr
Louisville, KY 40241-2080 - Phone
- (502) 426-2221
- Fax
- (502) 426-2210
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 004805 | KY | Primary |
Addresses
Primary practice location
11330 Maple Brook Dr
Louisville, KY 40241-2080
Mailing address
11330 Maple Brook Dr
Louisville, KY 40241-2080
Phone (502) 426-2221
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Kentucky College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11330 Maple Brook Dr
Louisville, KY 40241-2080
Phone (502) 426-2221
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drayer Physical Therapy Institute LLC | Physical Therapist | Past | Accepting new patients |
| Osptky LLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Lexington, KY
- NPI 1083133185
-
- Physical Therapy Clinic/Center
- Richmond, KY
- NPI 1356834154
-
- Physical Therapist
- Mt Sterling, KY
- NPI 1659333631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1154370872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11330 MAPLE BROOK DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412080",
"telephone_number": "502-426-2221",
"fax_number": "502-426-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11330 MAPLE BROOK DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412080",
"telephone_number": "502-426-2221",
"fax_number": "502-426-2210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELDON",
"first_name": "BRADLEY",
"middle_name": "S",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-09",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004805",
"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 Oct 5, 2010; 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.