Active NPI
Jill Vonderhaar Nader, PT
- Physical Therapist
- Crestview Hills, KY
National Provider Identifier
1205467289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-007528
- Practice address
- 350 Thomas More Pkwy Ste 130
Crestview Hills, KY 41017-5119 - Phone
- (859) 578-7000
- NPI assigned
- Jan 29, 2020
- Sex
- Female
- 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 | PT-007528 | KY | Primary |
Addresses
Primary practice location
350 Thomas More Pkwy Ste 130
Crestview Hills, KY 41017-5119
Mailing address
7567 Central Parke Blvd Ste a
Mason, OH 45040-6855
Phone (513) 701-6104
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, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Covington, KY 41011
Phone (314) 447-8511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-007528 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smart Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| Oxford Physical Therapy and Rehabilitation | Physical Therapist | Current | Accepting new patients |
| Bogner & Carr, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
350 Thomas More Pkwy
Ste 130
Crestview Hills, KY 41017
Phone (859) 344-6647
7567 Central Parke Blvd
Ste A
Mason, OH 45040
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 Therapist
- Mason, OH
- NPI 1326126061
-
- Physical Therapist
- Crestview Hills, KY
- NPI 1619011079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1205467289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7567 CENTRAL PARKE BLVD STE A",
"city": "MASON",
"state": "OH",
"postal_code": "450406855",
"telephone_number": "513-701-6104",
"fax_number": "513-770-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 THOMAS MORE PKWY STE 130",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410175119",
"telephone_number": "859-578-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NADER",
"first_name": "JILL",
"middle_name": "VONDERHAAR",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "PT-007528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crestview Hills, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.