Individual provider Active NPI

Thomas E Mooney, LPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1255322822
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 001154 Issued in KY
Practice address
4130 Dutchmans LN Ste 101
Louisville, KY 40207-4708
Phone
(502) 897-1794
Fax
(502) 897-3852
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 001154 KY Primary

Addresses

Primary practice location

4130 Dutchmans LN Ste 101
Louisville, KY 40207-4708

Mailing address

4130 Dutchmans LN Ste 300
Louisville, KY 40207-4710
Phone (502) 897-1794

Other identifiers 3

IdentifierTypeStateIssuer
201083180MedicaidIN
000000367296OtherANTHEM
87000691MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040721000186 KY Practitioner - Physical Therapist in Private Practice 1557341674 Reassigns benefits to 1 organization
I20181217001312 IN Practitioner - Physical Therapist in Private Practice 1557341674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Indiana Medical College, School of Medicine of Purdue University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, shared by 31 NPIs, 2,431 clinicians

Practice addresses (Care Compare)

2125 State St
Suite 2
New Albany, IN 47150-4972
Phone (812) 949-6360

2400 Eastpoint Pkwy
Suite 120
Louisville, KY 40223-4154
Phone (502) 253-6689

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Promoting interoperability
93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 001154KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Baptist Health Medical Group, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Baptist Health Medical Group Inc Physical Therapist Current Accepting new patients

Locations

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1425 State St
Ste 200
New Albany, IN 47150
Phone (502) 245-4450

1425 State St
Ste 201
New Albany, IN 47150

1425 State St
Ste 100
New Albany, IN 47150
Phone (812) 945-2229

2125 State St
Ste 2
New Albany, IN 47150
Phone (812) 948-2947

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

4130 Dutchmans Ln
Ste 300
Louisville, KY 40207

4130 Dutchmans Ln
Ste 200
Louisville, KY 40207
Phone (502) 238-7293

2400 Eastpoint Pkwy
Ste 120
Louisville, KY 40223
Phone (502) 253-6689

4130 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 897-1790

Interoperability endpoints

  • Direct secure messaging: thomas.mooney.1@25506.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1255322822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 DUTCHMANS LN STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074710",
            "telephone_number": "502-897-1794",
            "fax_number": "502-897-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 DUTCHMANS LN STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074708",
            "telephone_number": "502-897-1794",
            "fax_number": "502-897-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT 001154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201083180",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000367296",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87000691",
            "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 Apr 25, 2018; 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.

Verify at the official NPI Registry.