Individual provider Active NPI

Leah Jakopic, DPT, PT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1265163927
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008536 Issued in KY
Practice address
4402 Renaissance Dr
Louisville, KY 40299-6206
Phone
(502) 287-2235
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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 008536 KY Primary

Addresses

Primary practice location

4402 Renaissance Dr
Louisville, KY 40299-6206

Mailing address

4402 Renaissance Dr
Louisville, KY 40299-6206
Phone (502) 287-2235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726002074 KY Practitioner - Physical Therapist in Private Practice 7810379617 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008536KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince May 29, 2022 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince May 29, 2022 Accepting new patients

Locations

4010 DuPont Cir
Ste L14
Louisville, KY 40207
Phone (502) 899-1911

4430 Crawford Ave
Louisville, KY 40258
Phone (502) 995-2705

3584 Springhurst Blvd
Louisville, KY 40241
Phone (502) 339-4700

1227 Goss Ave
Louisville, KY 40217
Phone (502) 636-1200

2152 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 349-6961

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

6400 Dutchmans Pkwy
Ste 20
Louisville, KY 40205
Phone (502) 742-9392

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.

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1265163927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 RENAISSANCE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996206",
            "telephone_number": "502-287-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 RENAISSANCE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996206",
            "telephone_number": "502-287-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKOPIC",
        "first_name": "LEAH",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008536",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.