Individual provider Active NPI

Brian Vincent Shirley, DPT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1306450465
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008137 Issued in KY
Practice address
2011 Grinstead Dr Unit 101
Louisville, KY 40204-1296
Phone
(502) 813-7838
NPI assigned
Sep 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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 008137 KY Primary

Addresses

Primary practice location

2011 Grinstead Dr Unit 101
Louisville, KY 40204-1296

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

7926 Preston Hwy Ste 101
Louisville, KY 40219-3848
Phone (502) 964-5404

Other practice location 2

330 Waller Ave Ste 275
Lexington, KY 40504-2930
Phone (859) 447-8600

Other identifiers 1

IdentifierTypeStateIssuer
7100708740MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200916001975 KY Practitioner - Physical Therapist in Private Practice 8224456678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Hand TherapyGroup PAC ID 0446548119, 36 clinicians

Practice addresses (Care Compare)

330 Waller Ave
Suite 275
Lexington, KY 40504-2930
Phone (859) 447-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Hand Therapy Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist CurrentSince Sep 8, 2020 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Sep 8, 2020 Accepting new patients
Commonwealth Hand Therapy Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
SN Kentuckiana Rehab, LLC Past Accepting new patients

Locations

127 Clay Dr
Berea, KY 40403
Phone (859) 756-3281

938 Louisville Rd
Ste 200
Frankfort, KY 40601
Phone (502) 300-6101

105 Lawson Dr
Ste 4
Georgetown, KY 40324
Phone (502) 642-5400

2443 Sir Barton Way
Ste 125
Lexington, KY 40509
Phone (859) 551-3381

330 Waller Ave
Ste 275
Lexington, KY 40504
Phone (859) 447-8599

100 Bacho Way
Ste 300
London, KY 40741
Phone (606) 657-0733

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

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

7926 Preston Hwy
Ste 101
Louisville, KY 40219
Phone (502) 298-5658

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": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1306450465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 GRINSTEAD DR UNIT 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041296",
            "telephone_number": "502-813-7838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7926 Preston Hwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402193848",
            "country_code": "US",
            "telephone_number": "502-964-5404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 Waller Ave Ste 275",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042930",
            "country_code": "US",
            "telephone_number": "859-447-8600",
            "fax_number": "859-447-8599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "BRIAN",
        "middle_name": "VINCENT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "008137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100708740",
            "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 Aug 12, 2026; 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.