Andrea Distler Lamm, DPT
Individual provider Active NPI Physical Therapist · New Albany, IN
NPI 1336764133 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1336764133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 05015556A (IN)
- Practice address
- 3626 Grant Line Rd Ste 105
New Albany, IN 47150-2399 - Phone
- (812) 944-1377
- NPI assigned
- Jun 8, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SN Kentuckiana Rehab, LLC
Practice addresses (Care Compare)
3626 Grant Line Rd
Suite 105
New Albany, IN 47150-2399
Phone (812) 944-1377
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KY, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201123001274 | KY | Practitioner - Physical Therapist in Private Practice | 9032520085 | Reassigns benefits to 1 organization |
| I20241011000860 | IN | Practitioner - Physical Therapist in Private Practice | 9032520085 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Physical Therapist | Current |
Accepting new patients |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Physical Therapist | Current | Accepting new patients |
| SN Kentuckiana Rehab, LLC | Current |
Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current |
Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Past | Accepting new patients |
Locations
325 E Lewis and Clark Pkwy
Ste 100
Clarksville, IN 47129
Phone (812) 283-3231
3626 Grant Line Rd
Ste 105
New Albany, IN 47150
Phone (502) 558-2903
6400 Dutchmans Pkwy
Ste 20
Louisville, KY 40205
Phone (502) 742-9392
4010 DuPont Cir
Ste L14
Louisville, KY 40207
Phone (502) 899-1911
128 Breckenridge Ln
Ste 101
Louisville, KY 40207
Phone (502) 537-7440
2152 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 349-6961
210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350
4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008055 | KY | |
| Physical Therapist | 225100000X | 05015556A | IN | Yes |
Addresses
Primary practice location
3626 Grant Line Rd Ste 105
New Albany, IN 47150-2399
Mailing address
3626 Grant Line Rd Ste 105
New Albany, IN 47150-2399
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008055 | Other | KY | KY PT LICENSE |
Other providers in New Albany, IN
- Zahid Amirali Ladha
- Donna Casey Laduke
- Maria Thalia Teves Lagtapon
- Lake Cumberland Rheumatology PLLC
- Lake Cumberland Rheumatology, PLLC
- Courtney E Land
- Christina L Lane
- Natalie N. Lane
- Ryan Michael Lane
- Brianna Langenkamp
All providers in New Albany, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.