Individual provider Active NPI

Robert J Powrie, PT

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1316947013
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT002453 Issued in KY
Practice address
11630 Commonwealth Dr
Louisville, KY 40299-2300
Phone
(502) 267-6292
Fax
(502) 267-7104
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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 PT002453 KY Primary

Addresses

Primary practice location

11630 Commonwealth Dr
Louisville, KY 40299-2300

Mailing address

PO Box 950243
Louisville, KY 40295-0243
Phone (502) 253-1035

Other identifiers 1

IdentifierTypeStateIssuer
PT002453OtherKYSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rpowrie8359@bhkydirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000696 KY Practitioner - Physical Therapist in Private Practice 5395716674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

3900 Kresge Way
Louisville, KY 40207-4681

750 Cypress Station Dr
Louisville, KY 40207-5142
Phone 5028963900136

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT002453KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc Physical Therapist CurrentSince Jan 1, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jan 1, 2015 Accepting new patients
Physical Therapy Alliance, LLC Physical Therapist Past Accepting new patients
Total Body Rehab PLLC Physical Therapist PastSince Jul 1, 2004 Accepting new patients
Healing Hands Physical Therapy Physical Therapist Past Accepting new patients

Locations

10216 Taylorsville Rd
Ste 950
Louisville, KY 40299
Phone (502) 267-0209

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

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

2600 Stanley Gault Pkwy
Ste 201
Louisville, KY 40223
Phone (502) 253-1025

11630 Commonwealth Dr
Louisville, KY 40299
Phone (502) 267-6292

Organizations & group practices 5

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1316947013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950243",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950243",
            "telephone_number": "502-253-1035",
            "fax_number": "502-253-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 COMMONWEALTH DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992300",
            "telephone_number": "502-267-6292",
            "fax_number": "502-267-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWRIE",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT002453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PT002453",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rpowrie8359@bhkydirect.com",
            "affiliation": "N",
            "address_1": "11630 Commonwealth Dr",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402992300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 8, 2020; 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.