Individual provider Active NPI

Taylor Zuberer, MS, LAT, ATC

  • Sports Medicine (Emergency Medicine) Physician
  • Louisville, KY
National Provider Identifier
1205484029
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
AT1288 Issued in KY
Practice address
215 Central Ave
Louisville, KY 40208-1449
Phone
(502) 588-8700
NPI assigned
Aug 27, 2019
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Emergency Medicine) Physician 207PS0010X AT1288 KY Primary

Addresses

Primary practice location

215 Central Ave
Louisville, KY 40208-1449

Mailing address

9103 Fox Chase Rd
Louisville, KY 40228-2580
Phone (502) 994-4869

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Louisville
CONNECT URL Louisville

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AT1288KYMDSports Medicine (Emergency Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1205484029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 FOX CHASE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402282580",
            "telephone_number": "502-994-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CENTRAL AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402081449",
            "telephone_number": "502-588-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUBERER",
        "first_name": "TAYLOR",
        "credential": "MS, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "KY",
            "license": "AT1288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Louisville",
            "affiliation": "N",
            "address_1": "215 Central Ave Ste 200",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402081451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Louisville",
            "affiliation": "N",
            "address_1": "2401 Terra Crossing Blvd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402455371",
            "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 Aug 27, 2019; 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.