Individual provider Active NPI

Elaine Jury, PT, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1265256168
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009209 Issued in KY
Practice address
128 Breckenridge LN
Louisville, KY 40207-4904
Phone
(502) 537-7440
NPI assigned
Nov 8, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 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 009209 KY Primary

Addresses

Primary practice location

128 Breckenridge LN
Louisville, KY 40207-4904

Mailing address

2403 Newburg Rd
Louisville, KY 40205-2455
Phone (502) 235-1127

Other names 1

  • Ellie Jury Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250210001218 KY Practitioner - Physical Therapist in Private Practice 5698205417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

128 Breckenridge LN
Suite 101
Louisville, KY 40207-4904
Phone (502) 537-7440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009209KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Nov 14, 2024 Accepting new patients
SN Kentuckiana Rehab LLC CurrentSince Nov 14, 2024 Accepting new patients
SN Kentuckiana Rehab, LLC Past Accepting new patients
SN Kentuckiana Rehab, LLC Past Accepting new patients
SN Kentuckiana Rehab LLC Past Accepting new patients

Locations (25 of 28)

6003 Pleasant Colony Ct
Ste 3
Crestwood, KY 40014
Phone (502) 241-5597

2618 Ring Rd
Ste 110
Elizabethtown, KY 42701
Phone (270) 230-1729

1212 Market St
Lagrange, KY 40031
Phone (502) 225-9981

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

12613 Taylorsville Rd
Ste 118
Louisville, KY 40299
Phone (502) 267-1480

9451 Westport Rd
Ste B
Louisville, KY 40241
Phone (502) 261-1950

10631 Dixie Hwy
Louisville, KY 40272
Phone (502) 447-2750

12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002

9368 Cedar Center Way
Louisville, KY 40291
Phone (502) 231-3979

3509 S Hurstbourne Pkwy
Louisville, KY 40299
Phone (502) 537-7070

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

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

9300 Stonestreet Rd
Ste 400
Louisville, KY 40272
Phone (502) 935-8061

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

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

128 Breckenridge Ln
Ste 101
Louisville, KY 40207
Phone (502) 537-7440

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

7926 Preston Hwy
Louisville, KY 40219
Phone (502) 964-4357

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

2226 Holiday Manor Ctr
Ste 9
Louisville, KY 40222
Phone (502) 537-7870

128 Breckenridge Ln
Louisville, KY 40207
Phone (502) 537-7440

2901 Bardstown Rd
Louisville, KY 40205
Phone (502) 459-6307

9880 Angies Way
Ste 100
Lyndon, KY 40241
Phone (502) 209-0649

190 Shadowmeade Ln
Mt Washington, KY 40047
Phone (502) 538-2332

160 Frankfort Rd
Shelbyville, KY 40065
Phone (502) 257-8452

Organizations & group practices 6

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1265256168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 NEWBURG RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402052455",
            "telephone_number": "502-235-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074904",
            "telephone_number": "502-537-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURY",
        "first_name": "ELAINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "JURY",
            "credential": "PT, DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 11, 2024; 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.