Active NPI
Paula Rae Galvez, PT
- Physical Therapist
- Crestwood, KY
National Provider Identifier
1235876459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003871
- Practice address
- 4004 Elder Park Cutoff
Crestwood, KY 40014-9140 - Phone
- (502) 819-9355
- NPI assigned
- May 18, 2022
- 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 | 003871 | KY | Primary |
Addresses
Primary practice location
4004 Elder Park Cutoff
Crestwood, KY 40014-9140
Mailing address
4004 Elder Park Cutoff
Crestwood, KY 40014-9140
Phone (502) 819-9355
Other names 1
- Miss Paula Rae Mortenson
Organizations & group practices 1
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.
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Health Medical Group Inc
Practice addresses (Care Compare)
750 Cypress Station Dr
Louisville, KY 40207-5142
Phone 5028963900136
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.29 of 100
- Quality
- 87.32
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220721000002 | KY | Practitioner - Physical Therapist in Private Practice | 2466833561 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1235876459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 ELDER PARK CUTOFF",
"city": "CRESTWOOD",
"state": "KY",
"postal_code": "400149140",
"telephone_number": "502-819-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4004 ELDER PARK CUTOFF",
"city": "CRESTWOOD",
"state": "KY",
"postal_code": "400149140",
"telephone_number": "502-819-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVEZ",
"first_name": "PAULA",
"middle_name": "RAE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "003871",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAULA",
"last_name": "MORTENSON",
"middle_name": "RAE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Crestwood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.