Individual provider Active NPI

Joshua Stauffer

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1295558211
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009239 Issued in KY
Practice address
1257 S Hurstbourne Pkwy # 220
Louisville, KY 40222-5705
Phone
(502) 576-3280
Fax
(502) 576-3281
NPI assigned
Nov 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 009239 KY Primary

Addresses

Primary practice location

1257 S Hurstbourne Pkwy # 220
Louisville, KY 40222-5705

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241210004526 KY Practitioner - Physical Therapist in Private Practice 5890221121 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
Prorehab LouisvilleGroup PAC ID 4587981337, 71 clinicians

Practice addresses (Care Compare)

1257 S Hurstbourne Pkwy
Suite 220
Louisville, KY 40222-5705
Phone (502) 576-3280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Louisville Physical Therapist Current Accepting new patients
Prorehab Louisville, LLC Physical Therapist CurrentSince Oct 15, 2024 Accepting new patients
Prorehab Louisville, LLC Physical Therapist CurrentSince Oct 15, 2024 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

1257 S Hurstbourne Pkwy
Ste 220
Louisville, KY 40222
Phone (502) 576-3280

1257 S Hurstbourne Pkwy
#220
Louisville, KY 40222
Phone (502) 576-3280

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.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1295558211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "fax_number": "210-978-5592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 S HURSTBOURNE PKWY # 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225705",
            "telephone_number": "502-576-3280",
            "fax_number": "502-576-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009239",
            "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 Nov 7, 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.