Active NPI
Jill Stump, PT, DPT
- Physical Therapist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006180
- Practice address
- 175 S English Station Rd
Suite 220
Louisville, KY 40245-4160 - Phone
- (502) 245-1136
- Fax
- (502) 245-1146
- NPI assigned
- Feb 8, 2013
- 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 | 006180 | KY | Primary |
Addresses
Primary practice location
175 S English Station Rd
Suite 220
Louisville, KY 40245-4160
Mailing address
175 S English Station Rd
Suite 220
Louisville, KY 40245-4160
Phone (502) 245-1136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KY006180 | Other | KY | KY STATE LICENSE |
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3052 Bardstown Rd
Louisville, KY 40205-3020
Phone (502) 454-5544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prorehab Louisville | Physical Therapist | Current | Accepting new patients |
| Prorehab Louisville | Physical Therapist | Current | Accepting new patients |
| Prorehab Louisville, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1407 E Crystal Dr
Ste E
Lagrange, KY 40031
Phone (502) 222-0280
175 S English Station Rd
Ste 220
Louisville, KY 40245
Phone (502) 245-1136
3052 Bardstown Rd
Louisville, KY 40205
Phone (502) 454-5544
170 Dr Arla Way
Ste 102
Louisville, KY 40229
Phone (502) 897-7300
3630 Brownsboro Rd
Louisville, KY 40207
Phone (502) 749-6950
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
- Crestwood, KY
- NPI 1982473880
-
- Physical Therapy Clinic/Center
- Scottsburg, IN
- NPI 1053161349
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1235478330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 S ENGLISH STATION RD",
"address_2": "SUITE 220",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454160",
"telephone_number": "502-245-1136",
"fax_number": "502-245-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 S ENGLISH STATION RD",
"address_2": "SUITE 220",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402454160",
"telephone_number": "502-245-1136",
"fax_number": "502-245-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUMP",
"first_name": "JILL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-08",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY STATE LICENSE",
"identifier": "KY006180",
"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 Oct 29, 2014; 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.