Active NPI
Michelle Gaeta, OTR
- Hand Occupational Therapist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT-10219
- Practice address
- 9880 Angies Way Ste 100
Louisville, KY 40241-2851 - Phone
- (502) 339-6490
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 174429 | KY | |
| Hand Occupational Therapist | 225XH1200X | OT-10219 | FL | Primary |
Addresses
Primary practice location
9880 Angies Way Ste 100
Louisville, KY 40241-2851
Mailing address
3175 Clore Jackson Rd
Shelbyville, KY 40065-9078
Phone (732) 796-3257
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Shelbyville | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9880 Angies Way
Suite 100
Louisville, KY 40241-2851
Phone (502) 339-6490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-10219 | FL | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| Gold Coast Physical Therapy Associates LLC | Past | Accepting new patients | |
| Rehabsystems Physical Therapy Centers, Inc. | Past | Accepting new patients |
Locations
315 E Broadway
Ste 195
Louisville, KY 40202
Phone (502) 589-5961
2152 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 349-6961
210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350
12000 Aiken Rd
Louisville, KY 40243
Phone (502) 489-5002
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
4420 Dixie Hwy
Ste 122
Shively, KY 40216
Phone (502) 447-2750
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.
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1609349018
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Louisville, KY
- NPI 1235602616
-
dba KORT Physical Therapy
- Rehabilitation Clinic/Center
- Jeffersonville, IN
- NPI 1851864169
-
- Physical Therapy Clinic/Center
- Boca Raton, FL
- NPI 1316714850
-
- Physical Therapist
- Wellington, FL
- NPI 1265516215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1336269760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3175 CLORE JACKSON RD",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400659078",
"telephone_number": "732-796-3257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9880 ANGIES WAY STE 100",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402412851",
"telephone_number": "502-339-6490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAETA",
"first_name": "MICHELLE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "174429",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "FL",
"license": "OT-10219",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Shelbyville",
"affiliation": "N",
"endpointDescription": "xxxx",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Shelbyville",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Shelbyville",
"address_1": "9880 Angies Way Ste 100",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402412851",
"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 Aug 1, 2019; 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.